Edward Medical Ipa, Inc.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

EDWARD MEDICAL IPA, INC.

Practice address

12828 Harbor Blvd
Suite 230
Garden Grove, CA 92840-5831

Phone

(714) 741-4900

Fax

(714) 741-4910

NPI assigned

Sep 16, 2007

Organization subpart

No

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

Authorized official

Name

Edward C Pyune, M.D.

Title

President

Phone

(714) 741-4900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189900800000",
    "number": "1841486560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12828 HARBOR BLVD",
            "address_2": "SUITE 230",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405831",
            "telephone_number": "714-741-4900",
            "fax_number": "714-741-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12828 HARBOR BLVD",
            "address_2": "SUITE 230",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405831",
            "telephone_number": "714-741-4900",
            "fax_number": "714-741-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD MEDICAL IPA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-16",
        "last_updated": "2007-09-16",
        "status": "A",
        "authorized_official_last_name": "PYUNE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-741-4900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Humberto Echeverria
• Gift Edeifo, CSW
• Edisto Dialysis LLC
• Eduardo Vasquez DDS Inc
• Edward Medical Group, Inc
• Cassidy Edwards
• Jessica Edwards
• Julianne Pellizzon Edwards, BCBA
• Keishawana Edwards
• Mia Ehdaie

• Case Manager/Care Coordinator in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2007; 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.