Active NPI
Four Seasons Medical Group
- Pulmonary Disease Physician
- Anaheim, CA
National Provider Identifier
1902830250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 3264
- Legal business name
- FOUR SEASONS MEDICAL GROUP
- Practice address
- 1314 S Euclid St
Ste. 104
Anaheim, CA 92802-2079 - Phone
- (714) 849-3777
- NPI assigned
- Jul 11, 2006
- 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
- Venus Brinkman
- Title
- Executive Assistant
- Phone
- (909) 260-9890
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A30523 | CA | |
| Pulmonary Disease Physician | 207RP1001X | 3264 | NV | Primary |
Addresses
Primary practice location
1314 S Euclid St
Ste. 104
Anaheim, CA 92802-2079
Mailing address
1314 S Euclid St
Ste. 104
Anaheim, CA 92802-2079
Phone (714) 849-3777
National Provider Directory
National Provider DirectoryLocations
1314 S Euclid St
Ste 104
Anaheim, CA 92802
Phone (714) 533-7357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1902830250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 S EUCLID ST",
"address_2": "STE. 104",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928022079",
"telephone_number": "714-849-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 S EUCLID ST",
"address_2": "STE. 104",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928022079",
"telephone_number": "714-849-3777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUR SEASONS MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BRINKMAN",
"authorized_official_first_name": "VENUS",
"authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
"authorized_official_telephone_number": "909-260-9890"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A30523",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NV",
"license": "3264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.