Organization Active NPI

Four Seasons Medical Group

  • Pulmonary Disease Physician
  • Anaheim, CA
National Provider Identifier
1902830250
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
3264 Issued in NV
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A30523 CA
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.