Doc1 Medical Group Professional Corporation

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

DOC1 MEDICAL GROUP PROFESSIONAL CORPORATION

Practice address

14532 Central Ave
Chino, CA 91710-9503

Phone

(949) 868-3377

Fax

(800) 881-7739

NPI assigned

Sep 2, 2021

Last updated

Jan 26, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Benjamin Harmon

Title

Director of Clinical Operations

Phone

(714) 707-0855

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Joseph McColgan, MD

  • Surgery Physician
  • Bellflower, CA
  • NPI 1477633212
  NPD (past)
• Peter Pham, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Orange, CA
  • NPI 1366908543
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1922776996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14532 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917109503",
            "telephone_number": "949-868-3377",
            "fax_number": "800-881-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14532 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917109503",
            "telephone_number": "949-868-3377",
            "fax_number": "800-881-7739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Irvine Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926603120",
            "country_code": "US",
            "telephone_number": "949-868-3377",
            "fax_number": "800-881-7739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOC1 MEDICAL GROUP PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "714-707-0855"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lan DO
• Nancy DO, MA
• Steve D DO
• Trang L DO, D.D.S
• Doc Chung Dental Group - Chino, Inc.
• Doctors Home Health Southern California Inc
• Doctors Medical Plaza Inc
• Wayne Sarkis Dodakian, D.O.
• Kyle Michael Dory
• Doula Access Collective

• Multi-Specialty Clinic/Center in Chino, CA
• Providers in Chino, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.