NPIMap

Organization Active NPI

St. Peter Medical Group, Inc.

  • Health Maintenance Organization
  • Cypress, CA
National Provider Identifier
1639337678
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
ST. PETER MEDICAL GROUP, INC.
Practice address
10855 Business Center Dr
Suite C
Cypress, CA 90630-5252
Phone
(714) 947-8600
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Dr. Bang Pham, M.D.
Title
President
Phone
(714) 947-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

10855 Business Center Dr
Suite C
Cypress, CA 90630-5252

Mailing address

10855 Business Center Dr
Suite C
Cypress, CA 90630-5252
Phone (714) 947-8600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1639337678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10855 BUSINESS CENTER DR",
            "address_2": "SUITE C",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305252",
            "telephone_number": "714-947-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10855 BUSINESS CENTER DR",
            "address_2": "SUITE C",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305252",
            "telephone_number": "714-947-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PETER MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "BANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-947-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.