NPIMap

Organization Active NPI

JRD Medical Group

  • Internal Medicine Physician
  • Orange, CA
National Provider Identifier
1891669982
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JRD MEDICAL GROUP
Practice address
438 E Katella Ave Ste 226 a
Orange, CA 92867-4803
Phone
(760) 687-6968
NPI assigned
Oct 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Dureza Hanson
Title
Ceo
Phone
(760) 687-6968

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

438 E Katella Ave Ste 226 a
Orange, CA 92867-4803

Mailing address

438 E Katella Ave Ste 226a
Orange, CA 92867-4803
Phone (760) 687-6968

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260416003264 CA Part B Supplier - Clinic/Group Practice 9638645708 Receives reassigned benefits from 7 practitioners
Practice locations: Orange, CA

National Provider Directory

National Provider Directory

Locations

438 E Katella Ave
Ste 226A
Orange, CA 92867

438 E Katella Ave
Ste 226
Orange, CA 92867
Phone (760) 687-6968

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1891669982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 E KATELLA AVE STE 226A",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674803",
            "telephone_number": "760-687-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 E KATELLA AVE STE 226 A",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674803",
            "telephone_number": "760-687-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRD MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-01",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "DUREZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-687-6968"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.