Organization Active NPI

Strongkids Medical Group, Inc.

Doing business as Strong Families Medical Group, Inc.

  • Family Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1841466927
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
320153 Issued in CA
Legal business name
STRONGKIDS MEDICAL GROUP, INC.
Doing business as
Strong Families Medical Group, Inc.
Practice address
1226 E McFadden Ave
Santa Ana, CA 92705-4106
Phone
(714) 542-1331
Fax
(714) 542-4758
NPI assigned
May 7, 2008
Last updated
Dec 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Authorized official

Name
Jacob Sweidan, MD
Title
President
Phone
(714) 947-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 320153 CA Primary

Addresses

Primary practice location

1226 E McFadden Ave
Santa Ana, CA 92705-4106

Mailing address

6261 Katella Ave
Suite 150
Cypress, CA 90630-5249
Phone (714) 947-8692

Other identifiers 4

IdentifierTypeStateIssuer
00A357310MedicaidCA
00A446640MedicaidCA
GR0105312MedicaidCA
00PA142210MedicaidCA

Other names 1

  • Strong Families Medical Group, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090820000543 CA Part B Supplier - Clinic/Group Practice 3476607730 Receives reassigned benefits from 6 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Anaheim, CA; Santa Ana, CA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

6261 Katella Ave
Ste 150
Cypress, CA 90630
Phone (714) 820-1657

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1841466927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6261 KATELLA AVE",
            "address_2": "SUITE 150",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305249",
            "telephone_number": "714-947-8692",
            "fax_number": "714-947-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 E MCFADDEN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054106",
            "telephone_number": "714-542-1331",
            "fax_number": "714-542-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONGKIDS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "SWEIDAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-947-8600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "320153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A357310",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A446640",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0105312",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00PA142210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strong Families Medical Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.