Active NPI
Minimally Invasive Medical Group
- Surgery Physician
- Lake Forest, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- MINIMALLY INVASIVE MEDICAL GROUP
- Practice address
- 29300 Portola Pkwy Ste B
Lake Forest, CA 92630-8741 - Phone
- (949) 333-2224
- NPI assigned
- Nov 6, 2018
- 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
- Kevin Burns, MD
- Title
- Medical Director
- Phone
- (949) 333-2224
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | |||
| Surgery Physician | 208600000X | Primary | ||
| Colon & Rectal Surgery Physician | 208C00000X | |||
| Physical Therapist | 225100000X | |||
| Orthopedic Physical Therapist | 2251X0800X | |||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
29300 Portola Pkwy Ste B
Lake Forest, CA 92630-8741
Mailing address
29300 Portola Pkwy Ste B
Lake Forest, CA 92630-8741
Phone (949) 333-2224
Other practice location 1
18102 Sky Park Cir Ste D
Irvine, CA 92614-6531
Phone (949) 333-2224
Other practice location 2
26921 Crown Valley Pkwy Ste 120
Mission Viejo, CA 92691-6501
Phone (949) 367-1006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
26921 Crown Valley Pkwy
Ste 12
Mission Viejo, CA 92691
26921 Crown Valley Pkwy
Ste 110
Mission Viejo, CA 92691
Phone (949) 367-1006
Practitioners & affiliated clinicians
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular & Interventional Radiology Physician
- Orange, CA
- NPI 1174880389
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Tustin, CA
- NPI 1508109018
-
- Certified Registered Nurse Anesthetist
- Orange, CA
- NPI 1811309669
Nurse Anesthetist, Certified Registered
-
- Physical Therapist
- Irvine, CA
- NPI 1851625917
-
- Nurse Practitioner
- Mission Viejo, CA
- NPI 1508906033
-
- Colon & Rectal Surgery Physician
- Laguna Hills, CA
- NPI 1487842720
-
- Neurological Surgery Physician
- Riverside, CA
- NPI 1336353341
-
- Orthopaedic Surgery Physician
- San Clemente, CA
- NPI 1508084120
-
- Orthopaedic Surgery Physician
- Corona, CA
- NPI 1730523945
-
- Colon & Rectal Surgery Physician
- Mission Viejo, CA
- NPI 1881035814
-
- Surgery Physician
- Laguna Hills, CA
- NPI 1518904580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787097600000",
"number": "1902374010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29300 PORTOLA PKWY STE B",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926308741",
"telephone_number": "949-333-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29300 PORTOLA PKWY STE B",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926308741",
"telephone_number": "949-333-2224"
}
],
"practiceLocations": [
{
"address_1": "18102 Sky Park Cir Ste D",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926146531",
"country_code": "US",
"telephone_number": "949-333-2224",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "26921 Crown Valley Pkwy Ste 120",
"address_purpose": "LOCATION",
"city": "Mission Viejo",
"state": "CA",
"postal_code": "926916501",
"country_code": "US",
"telephone_number": "949-367-1006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MINIMALLY INVASIVE MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-06",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "949-333-2224",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "208C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.