Active NPI
Cpa Medical Group Inc.
- General Practice Physician
- Costa Mesa, CA
National Provider Identifier
1962393447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- CPA MEDICAL GROUP INC.
- Practice address
- 3090 Bristol St Ste 200
Costa Mesa, CA 92626-3061 - Phone
- (888) 789-9585
- Fax
- (562) 803-4500
- NPI assigned
- Jul 11, 2025
- 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
- Kerry Weiner, MD
- Title
- Authorized Official
- Phone
- (888) 789-9585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
3090 Bristol St Ste 200
Costa Mesa, CA 92626-3061
Mailing address
3090 Bristol St Ste 200
Costa Mesa, CA 92626-3061
Phone (888) 789-9585
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752192000000",
"number": "1962393447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3090 BRISTOL ST STE 200",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926263061",
"telephone_number": "888-789-9585",
"fax_number": "562-803-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3090 BRISTOL ST STE 200",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926263061",
"telephone_number": "888-789-9585",
"fax_number": "562-803-4500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CPA MEDICAL GROUP INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-11",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A",
"authorized_official_last_name": "WEINER",
"authorized_official_first_name": "KERRY",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "888-789-9585",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.