NPIMap

Organization Active NPI

Renewed Medical Group, a Professional Medical Corporation

Doing business as Renewed Mental Health and Wellness Group

  • Psychiatry Physician
  • Anaheim, CA
National Provider Identifier
1922785690
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RENEWED MEDICAL GROUP, A PROFESSIONAL MEDICAL CORPORATION
Doing business as
Renewed Mental Health and Wellness Group
Practice address
421 N Brookhurst St Ste 128
Anaheim, CA 92801-5618
Phone
(714) 361-0898
Fax
(714) 276-2604
NPI assigned
Jul 3, 2023
Last updated
Feb 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Medard SisonNPI 1922507037
Title
Ceo
Phone
(714) 361-0898

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychiatry Physician 2084P0800X Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

421 N Brookhurst St Ste 128
Anaheim, CA 92801-5618

Mailing address

421 N Brookhurst St Ste 128
Anaheim, CA 92801-5618
Phone (714) 831-0821

Other names 1

  • Renewed Mental Health and Wellness Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240617001244 CA Part B Supplier - Clinic/Group Practice 9335682541 Receives reassigned benefits from 27 practitioners
Practice locations: Anaheim, CA

National Provider Directory

National Provider Directory

Locations

421 N Brookhurst St
Ste 119
Anaheim, CA 92801
Phone (714) 253-6570

421 N Brookhurst St
Ste 128
Anaheim, CA 92801
Phone (714) 361-0898

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1922785690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N BROOKHURST ST STE 128",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015618",
            "telephone_number": "714-831-0821",
            "fax_number": "714-276-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N BROOKHURST ST STE 128",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015618",
            "telephone_number": "714-361-0898",
            "fax_number": "714-276-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED MEDICAL GROUP, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "SISON",
        "authorized_official_first_name": "MEDARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-361-0898"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renewed Mental Health and Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renewed Mental Health and Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 26, 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.

Verify at the official NPI Registry.