Organization Active NPI

Caduceus Physicians Medical Group

  • Family Medicine Physician
  • Laguna Beach, CA
National Provider Identifier
1841404142
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CADUCEUS PHYSICIANS MEDICAL GROUP
Practice address
333 Thalia St
Laguna Beach, CA 92651-2713
Phone
(949) 499-0577
NPI assigned
May 9, 2007
Organization subpart
Yes
Parent organization
CADUCEUS PHYSICIANS MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Mrs. Rebecca James
Title
Mso Manager
Phone
(714) 646-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

333 Thalia St
Laguna Beach, CA 92651-2713

Mailing address

18200 Yorba Linda Blvd
Ste #401
Yorba Linda, CA 92886-4056
Phone (714) 646-8008

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0952704Caduceus Medical Group333 Thalia St, Laguna Beach, CA 92651Certificate of waiverJul 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Caduceus Physi Cia2 organizations share this tax ID, including this one
Part of
Caduceus Physi Cia

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1841404142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18200 YORBA LINDA BLVD",
            "address_2": "STE #401",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864056",
            "telephone_number": "714-646-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 THALIA ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512713",
            "telephone_number": "949-499-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADUCEUS PHYSICIANS MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CADUCEUS PHYSICIANS MEDICAL GROUP",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "MSO MANAGER",
        "authorized_official_telephone_number": "714-646-8000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.