Active NPI
Priority Care Medical Group
- Family Medicine Physician
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRIORITY CARE MEDICAL GROUP
- Practice address
- 18663 Brookhurst St
Fountain Valley, CA 92708-6709 - Phone
- (714) 887-9800
- Fax
- (714) 887-9803
- NPI assigned
- Aug 31, 2006
- 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
- Jeff Huang, M.D.
- Title
- President
- Phone
- (714) 887-9800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
18663 Brookhurst St
Fountain Valley, CA 92708-6709
Mailing address
18663 Brookhurst St
Fountain Valley, CA 92708-6709
Phone (714) 887-9800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A640140 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
18863 Brookhurst St
Fountain Valley, CA 92708
Phone (714) 887-9800
18663 Brookhurst St
Fountain Vly, CA 92708
Phone (714) 887-9800
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Fountain Valley, CA
- NPI 1124122551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264982400000",
"number": "1831200195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18663 BROOKHURST ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086709",
"telephone_number": "714-887-9800",
"fax_number": "714-887-9803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18663 BROOKHURST ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086709",
"telephone_number": "714-887-9800",
"fax_number": "714-887-9803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIORITY CARE MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2010-02-01",
"status": "A",
"authorized_official_last_name": "HUANG",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-887-9800",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A640140",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
- Robereta Prepas, CNM
- Prestige Healthcare Services
- Prestige Medical Solutions (Prestige Medical Pharmacy)
- Prevail Medical Equipment, Inc.
- Valerie Grijalva Prichard
- Jessica Sue Proffit, MSW
- Proforma Solutions Corp
- Prohealth Partners a Medical Group
- Promo Call Diagnostic Inc
- Providence Speech and Hearing Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.