NPIMap

Organization Active NPI

Strongkids Medical Group Inc

Doing business as Strong Families Medical Group Inc

  • Pediatrics Physician
  • Anaheim, CA
National Provider Identifier
1528235355
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
BUS2006-04344 Issued in CA
Legal business name
STRONGKIDS MEDICAL GROUP INC
Doing business as
Strong Families Medical Group Inc
Practice address
1491 E la Palma Ave
Ste B
Anaheim, CA 92805-1564
Phone
(714) 535-3330
Fax
(714) 535-4332
NPI assigned
May 12, 2008
Last updated
Oct 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Jacob Sweidan, M.D.
Title
President/Ceo/Owner
Phone
(714) 915-4656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X BUS2006-04344 CA Primary

Addresses

Primary practice location

1491 E la Palma Ave
Ste B
Anaheim, CA 92805-1564

Mailing address

P.O. Box 8500
Newport Beach, CA 92658-8500
Phone (714) 535-3330

Other identifiers 10

IdentifierTypeStateIssuer
00PA177430MedicaidCA
00A943300MedicaidCA
00A378880MedicaidCA
00C350690MedicaidCA
00G268130MedicaidCA
00PA142210MedicaidCA
00A446640MedicaidCA
00PA183200MedicaidCA
00A213320MedicaidCA
GR0105311MedicaidCA

Other names 1

  • STRONG FAMILIES MEDICAL GROUP INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090820000543 CA Part B Supplier - Clinic/Group Practice 3476607730 Receives reassigned benefits from 6 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Anaheim, CA; Santa Ana, CA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Strong Families Medical Group Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12665 Garden Grove Blvd
Ste 713
Garden Grove, CA 92843
Phone (714) 537-6595

20411 SW Birch St
Newport Beach, CA 92660

2222 S Main St
Santa Ana, CA 92707
Phone (714) 436-9999

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1528235355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 8500",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926588500",
            "telephone_number": "714-535-3330",
            "fax_number": "714-535-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 E LA PALMA AVE",
            "address_2": "STE B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928051564",
            "telephone_number": "714-535-3330",
            "fax_number": "714-535-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONGKIDS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "SWEIDAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT/CEO/OWNER",
        "authorized_official_telephone_number": "714-915-4656",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "BUS2006-04344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00PA177430",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A943300",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A378880",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C350690",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G268130",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00PA142210",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A446640",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00PA183200",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A213320",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0105311",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STRONG FAMILIES MEDICAL GROUP INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.