Parkinsons Movement & Disorder Medical Group Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

PARKINSONS MOVEMENT & DISORDER MEDICAL GROUP INC

Practice address

9940 Talbert Ave Ste 204
Fountain Valley, CA 92708-5153

Phone

(714) 378-5062

Fax

(714) 378-5061

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jassie M. Sombai

Title

Office Administrator

Phone

(714) 378-5062

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Phyllis Frei, M.D.

  • Neurology Physician
  • Loma Linda, CA
  • NPI 1902836141
  NPD (past)
• Stephen Woodrow Jenkins, M.D.

  • Neurology Physician
  • Mission Viejo, CA
  • NPI 1881619807
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1881627313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9940 TALBERT AVE STE 204",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 TALBERT AVE STE 204",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-378-5062",
            "fax_number": "714-378-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKINSONS MOVEMENT & DISORDER MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "SOMBAI",
        "authorized_official_first_name": "JASSIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "714-378-5062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0091050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Sorah Park, AMFT
• Somin Park, PHARM.D
• Sunmi Park
• Susan Jung Park
• Jeff Parkan, P.T.
• Kourosh Parsapour, MD
• Yvette Pasillas, LCSW
• Ahidee Pastor
• Arati Patel
• Bhavik Harishchandra Patel, MD

• Neurology Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.