B & G Medical Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

300293AP Issued in CA

Legal business name

B & G MEDICAL SERVICES

Practice address

4000 Birch St Ste 112B
Newport Beach, CA 92660-2211

Phone

(949) 422-4747

NPI assigned

Jun 3, 2016

Last updated

Feb 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Casto

Title

Director of Compliance

Phone

(949) 612-2712

Specialties & licenses 1

Addresses

Tax ID family

B G Medical Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• B & G Medical Services

  • Health Service Clinic/Center
  • Newport Beach, CA
  • NPI 1841662061
  NPD tax ID

Locations

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1558710251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 BIRCH ST STE 112B",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602211",
            "telephone_number": "949-422-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 BIRCH ST STE 112B",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602211",
            "telephone_number": "949-422-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & G MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "CASTO",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "949-612-2712"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "300293AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayse Ipek Aykol, M.S., LMFT
• Azana Psychology Center, Apc
• Soheir S. Azer, DDS
• Alysa R Azimov, LMFT
• Azra Ashraf MD Professional Corporation
• B & G Medical Services
• B Oconnor MD a Professional Medical Corporation (ReAbility MD)
• Kenichi Baba, D.D.S.
• Babak N. Rad, M.D., Inc.
• Babak Pezeshki, M.D., a Professional Corporation

• Adult Mental Health Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.