Active NPI
Caduceus Physicians Medical Group
- Family Medicine Physician
- Laguna Beach, CA
National Provider Identifier
1841404142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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 GROUP
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0952704 | Caduceus Medical Group | Certificate of waiver | Jul 29, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Caduceus Physi Cia
- 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.
-
- Family Medicine Physician
- Yorba Linda, CA
- NPI 1285820340
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.