Active NPI
Bach Medical Group, Inc.
- Anatomic Pathology & Clinical Pathology Physician
- Irvine, CA
National Provider Identifier
1902280019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- BACH MEDICAL GROUP, INC.
- Practice address
- 17672 Cowan
Irvine, CA 92614-6027 - Phone
- (800) 544-4181
- Fax
- (949) 236-6646
- NPI assigned
- Jul 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dylan Bach, M.D.
- Title
- Medical Director
- Phone
- (714) 273-4991
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | |||
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary | ||
| General Practice Physician | 208D00000X |
Addresses
Primary practice location
17672 Cowan
Irvine, CA 92614-6027
Mailing address
17672 Cowan
Irvine, CA 92614-6027
Phone (800) 544-4181
Other names 1
- Bach Diagnostics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, CO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151229000135 | CA | Part B Supplier - Independent Clinical Laboratory | 8820399355 | Practice locations: Irvine, CA |
| O20251010002819 | CO | Part B Supplier - Independent Clinical Laboratory | 8820399355 | Practice locations: Westminster, CO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2101629 | Bach Diagnostics | Compliance | Mar 22, 2028 |
National Provider Directory
National Provider DirectoryLocations
17672 Cowan
Irvine, CA 92614
Phone (800) 544-4181
1401 N Tustin Ave
Ste 310
Santa Ana, CA 92705
Phone (800) 544-4181
8300 Alcott St
Ste 102
Westminster, CO 80031
Phone (800) 544-4181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732579200000",
"number": "1902280019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17672 COWAN",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146027",
"telephone_number": "800-544-4181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17672 COWAN",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146027",
"telephone_number": "800-544-4181",
"fax_number": "949-236-6646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACH MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-17",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A",
"authorized_official_last_name": "BACH",
"authorized_official_first_name": "DYLAN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "714-273-4991",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Dermatopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Molecular Genetic Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bach Diagnostics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bach Diagnostics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.