Dana Niguel Internal Medicine Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A40335 Issued in CA

Legal business name

DANA NIGUEL INTERNAL MEDICINE GROUP

Practice address

655 Camino de Los Mares
Suite 124
San Clemente, CA 92673-2809

Phone

(949) 661-9657

Fax

(949) 661-1352

NPI assigned

Feb 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Greg A Brown, M.D.NPI 1720135346

Title

Owner

Phone

(949) 495-4305

Specialties & licenses 1

Addresses

Other names 1

• Greg A. Brown, M.D. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Greg A Brown, M.D.

  • Internal Medicine Physician
  • San Clemente, CA
  • NPI 1720135346
  Medicare reassignment Authorized official
• Peter Scott Jungwirth, M.D.

  • Internal Medicine Physician
  • Laguna Niguel, CA
  • NPI 1164566477
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1891839155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 CAMINO DE LOS MARES",
            "address_2": "SUITE 124",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732809",
            "telephone_number": "949-661-9657",
            "fax_number": "949-661-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 CAMINO DE LOS MARES",
            "address_2": "SUITE 124",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732809",
            "telephone_number": "949-661-9657",
            "fax_number": "949-661-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA NIGUEL INTERNAL MEDICINE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-495-4305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A40335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greg A. Brown, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Densie K Cuthbertson, MFT
• Cristina E. Bullard Cutone, D.P.T.
• Katharyn D'Amato, DPT
• Madison Dacey
• Scott Sterling Daly, H.A.D.
• Kevin Dand, DC
• Diep Kim Dang, DDS
• Marvin Tieu Dang, DO
• Daniel a. Choi, DDS, Inc.
• Daniel T. Tam, M.D. Inc

• Internal Medicine Physician in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.