Care Direct Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CARE DIRECT MEDICAL GROUP INC

Practice address

150 Paularino Ave Ste D182
Costa Mesa, CA 92626-3302

Phone

(949) 556-3433

NPI assigned

Apr 19, 2021

Last updated

Apr 19, 2021By 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

Dr. Jason Abney, DONPI 1992982052

Title

Owner

Phone

(949) 353-5053

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Jason Richard Abney, DO

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Ladera Ranch, CA
  • NPI 1992982052
  Authorized official Same address or phone
• Julie Phuong Le

  • Family Nurse Practitioner
  • Fountain Valley, CA
  • NPI 1235745563
  NPD (past)
• Jacquelyn Smith-Douglas, FNP

  • Nurse Practitioner
  • Costa Mesa, CA
  • NPI 1598336828

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1790366953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PAULARINO AVE STE D182",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263302",
            "telephone_number": "949-556-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PAULARINO AVE STE D182",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263302",
            "telephone_number": "949-556-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE DIRECT MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "ABNEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-353-5053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ally Mayra Cardenas
• Eduardo Cardenas
• Mariah Jasmine Cardenas
• Jessica Ilene Cardona
• Care 22 LLC
• Care Matteo LLC (Care Achilles)
• Care Partners California Medical PC
• Care Partners Ohio Medical Corporation
• Careconnect Medical
• Careconnectmd Ca PC

• Family Medicine Physician in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.