Personal Physicians Group, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PERSONAL PHYSICIANS GROUP, INC.

Practice address

1685 E Main St
Suite 202
El Cajon, CA 92021-5225

Phone

(619) 579-8681

Fax

(619) 579-0759

NPI assigned

May 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Venu Prabaker, M.D.

Title

President

Phone

(619) 579-8681

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine Maywood, M.D.

  • Specialist
  • El Cajon, CA
  • NPI 1053367755
  NPD (past)
• Gyoung J Park, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1871532309
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477500189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215225",
            "telephone_number": "619-579-8681",
            "fax_number": "619-579-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215225",
            "telephone_number": "619-579-8681",
            "fax_number": "619-579-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL PHYSICIANS GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRABAKER",
        "authorized_official_first_name": "VENU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-579-8681",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FICTITIOUS NAME PERMIT",
            "identifier": "FNP 34594",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Michael Perkins, COTA
• Cassandra Nanette Pero
• Phil Perral
• Hannah Perrone-Breneman, AMFT
• Michele Elaine Perry, FNP-C
• Arianna Peters
• Bryanna Lynn Petersen
• Brian Peterson, REGISTERED NURSE
• Ana Pilar Petitte, LCSW
• Ryan Raad Petros, PHARMD

• Specialist in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.