Active NPI
Talbert Medical Group, P.C.
- Internal Medicine Physician
- Fountain Valley, CA
National Provider Identifier
1528069176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- TALBERT MEDICAL GROUP, P.C.
- Practice address
- 9930 Talbert Ave
Fountain Valley, CA 92708-5153 - Phone
- (714) 964-6229
- Fax
- (714) 378-6233
- NPI assigned
- Aug 4, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John G. Liethen
- Title
- Secretary
- Phone
- (952) 205-6262
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | CA | ||
| Optometrist | 152W00000X | CA | ||
| Pharmacist | 183500000X | AR | ||
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | CA | ||
| Family Medicine Physician | 207Q00000X | CA | ||
| Internal Medicine Physician | 207R00000X | CA | Primary | |
| Obstetrics & Gynecology Physician | 207V00000X | CA | ||
| Ophthalmology Physician | 207W00000X | CA | ||
| Orthopaedic Surgery Physician | 207X00000X | CA | ||
| Otolaryngology Physician | 207Y00000X | CA | ||
| Pediatrics Physician | 208000000X | CA | ||
| Diagnostic Radiology Physician | 2085R0202X | CA | ||
| Surgery Physician | 208600000X | CA | ||
| Urology Physician | 208800000X | CA |
Addresses
Primary practice location
9930 Talbert Ave
Fountain Valley, CA 92708-5153
Mailing address
PO Box 6400
Torrance, CA 90504-6400
Phone (310) 783-5552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0077860 | Medicaid | CA |
Other names 1
- Talbert Medical Group
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 203
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Long Beach, CA
- NPI 1508897760
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- Seal Beach, CA
- NPI 1205830890
-
- Family Nurse Practitioner
- Laguna Niguel, CA
- NPI 1831487958
-
- Internal Medicine Physician
- Harbor City, CA
- NPI 1578567178
Internal Medicine
-
- Gastroenterology Physician
- Fountain Valley, CA
- NPI 1174527774
-
- Family Nurse Practitioner
- Downey, CA
- NPI 1538237177
-
- Gastroenterology Physician
- Long Beach, CA
- NPI 1801877733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566172800000",
"number": "1528069176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6400",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905046400",
"telephone_number": "310-783-5552",
"fax_number": "310-783-5581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9930 TALBERT AVE",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085153",
"telephone_number": "714-964-6229",
"fax_number": "714-378-6233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TALBERT MEDICAL GROUP, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-04",
"last_updated": "2019-08-19",
"status": "A",
"authorized_official_last_name": "LIETHEN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "952-205-6262"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "AR",
"license": null,
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0077860",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Talbert Medical Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Talbert Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.