Organization Active NPI

Bach Medical Group, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Irvine, CA
National Provider Identifier
1902280019
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
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

Updated by the provider on Nov 26, 2024

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)CodeLicenseStatePrimary
Dermatopathology (Pathology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZD0900X
Molecular Genetic Pathology (Pathology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0007X
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2101629Bach Diagnostics17672 Cowan, Irvine, CA 92614ComplianceMar 22, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.