Angel Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ANGEL MEDICAL GROUP, INC

Practice address

2372 SE Bristol St
Ste B
Newport Beach, CA 92660-0755

Phone

(888) 975-3246

Fax

(909) 235-4145

NPI assigned

Jan 17, 2008

Organization subpart

No

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

Authorized official

Name

Sherri Diane Siemen

Title

Credentialing/Operations Consultant

Phone

(951) 219-3799

Specialties & licenses 1

Addresses

Other names 1

• Superior Choice Medical Group, Inc. Doing business as

Locations

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1982880118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2372 SE BRISTOL ST",
            "address_2": "STE B",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600755",
            "telephone_number": "888-975-3246",
            "fax_number": "909-235-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2372 SE BRISTOL ST",
            "address_2": "STE B",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600755",
            "telephone_number": "888-975-3246",
            "fax_number": "909-235-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "SIEMEN",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "CREDENTIALING/OPERATIONS CONSULTANT",
        "authorized_official_telephone_number": "951-219-3799"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Choice Medical Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Superior Choice Medical Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Stephen Paul Angel, M.D.
• Angela Iacovino Chiropractic, Inc
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• Anna-Maria Kourumalos Angelakis, M.D.
• Angell Chiropractic & Wellness Center, Inc.

• Family Medicine Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.