PERFORMANCE HEALTH MEDICAL GROUP (NPI# 1174660161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174660161 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE HEALTH MEDICAL GROUP |
| Practice Address |
13252 Garden Grove Blvd Suite 112 Garden Grove CA 92843-2204 |
| Mailing Address |
21707 Hawthorne Blvd Ste 201 Torrance CA 90503 |
| Practice Telephone | 7147401778 |
| Practice Fax Number | 7147401913 |
| Mailing Telephone | 3105409699 |
| Mailing Fax Number | 3105409486 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2009-04-22 |
| Authorized Official Name | BRIAN D CARRICO (OWNER) |
| Authorized Official Telephone | 3105409699 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE | W18860A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1750622577 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Rd, Suite 118, Laguna Hills, CA 92653-5518 | 2013-03-04 |
| 1922145911 | Performance Health Medical Group | Chiropractor | 21707 Hawthorne Blvd, Ste 201, Torrance, CA 90503 | 2007-01-31 |
| Street Address |
13252 GARDEN GROVE BLVD SUITE 112 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92843-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972857357 | Rest Analysis L.p. | Clinical Medical Laboratory | 13252 Garden Grove Blvd, Suite #210-#212, Garden Grove, CA 92843-2204 | 2012-11-06 |
| 1962756353 | Sleep Analysis Family Therapy Inc | Psychologist | 13252 Garden Grove Blvd, Suite #210-#212, Garden Grove, CA 92843-2204 | 2012-11-06 |
| 1386968543 | Serge Obukhov, M.d. PC | Neurological Surgery | 13252 Garden Grove Blvd, Suite 112, Garden Grove, CA 92843-2204 | 2010-03-17 |
| 1639405343 | Enrique Cazares Jr. | Chiropractor | 13252 Garden Grove Blvd, Suite 112, Garden Grove, CA 92843-2204 | 2009-10-30 |
| 1427284405 | George Magallon | General Practice | 13252 Garden Grove Blvd, Suite 112, Garden Grove, CA 92843-2204 | 2009-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346759024 | Elite Wellness Chiropractic Center | Clinic/Center | 13125 Brookhurst St, Garden Grove, CA 92843 | 2017-09-25 |
| 1407375520 | Leontina Balos | Assisted Living Facility | 10452 Mildred Avenue, Garden Grove, CA 92843 | 2017-09-11 |
| 1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
| 1598285512 | Ernest Youngchan Rhee | Acupuncturist | 12555 Garden Grove Blvd., Ste 505, Garden Grove, CA 92843 | 2017-06-21 |
| 1336681253 | Shane Hiromu Koga | Chiropractor | 13311 Garden Grove Blvd Suite B, Garden Grove, CA 92843 | 2016-11-09 |
| 1023461456 | Kelly Chau Quach | Counselor | 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 | 2016-07-21 |
| 1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1063848232 | Nexgen Chiropractic Inc | Chiropractor | 12832 Garden Grove Blvd A, Garden Grove, CA 92843 | 2013-09-19 |
| 1023369824 | American Medical Diagnostic Lab Inc. | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
| Find all providers in zip 92843 | ||||
| Taxonomy Code | 111NR0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Rehabilitation |
| Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. |
| Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487961223 | Kevin Y Shin | Chiropractor | 12942 Magnolia St, Garden Grove, CA 92841-4744 | 2010-08-31 |
| 1154577195 | Performance Medical & Rehab Center | Chiropractor | 13252 Garden Grove Blvd., Suite 112, Garden Grove, CA 92843 | 2008-08-11 |
| 1750439139 | Antoinette A Nguyen | Chiropractor | 10244 Westminster Ave, Garden Grove, CA 92843-4830 | 2007-01-08 |
| 1063979045 | Thai Mai | Chiropractor | 11562 Knott St Ste 17, Garden Grove, CA 92841-1823 | 2019-02-26 |
| 1487818209 | Nexus Health & Wellness | Chiropractor | 12800 Garden Grove Blvd, Suite A, Garden Grove, CA 92843-2008 | 2008-07-10 |
| 1164680302 | Scott Hoang Nguyen | Chiropractor | 12800 Garden Grove Blvd, Suite A, Garden Grove, CA 92843-2008 | 2008-05-23 |
| 1366600520 | Excelsior Chiropractic & Rehab | Chiropractor | 12800 Garden Grove Blvd, Suite A, Garden Grove, CA 92843-2008 | 2008-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695836 | Felisa Kimi Pagaran | Chiropractor | 4217 Valley Ave, Martinez, CA 94553-1441 | 2020-09-23 |
| 1790335958 | Midori Tokuda Pimentel-millado | Chiropractor | 2960 Harbor Blvd Ste A&b, Costa Mesa, CA 92626-3950 | 2019-09-18 |
| 1851953848 | Nu Herbal House | Chiropractor | 2092 Concourse Dr #85, San Jose, CA 95131 | 2019-07-01 |
| 1043776172 | Kingdom Chiropractic | Chiropractor | 7509 Madison Ave Unit 11, Citrus Heights, CA 95610-7467 | 2019-02-13 |
| 1073080198 | Sacramento Spinal Specialists An Oliver Chiropractic Corp. | Chiropractor | 3000 Arden Way Ste. 1, Sacramento, CA 95825-2000 | 2018-10-26 |
| 1780163915 | Complete Spine and Joint Center Inc | Chiropractor | 15112 Rosecrans Ave, La Mirada, CA 90638 | 2018-08-08 |
| 1154828572 | Rios and Miles Chiropractic Incorporated | Chiropractor | 9135 Archibald Ave Ste C, Rancho Cucamonga, CA 91730-5227 | 2018-04-11 |
| 1710338256 | Arc Healthcare Inc | Chiropractor | 460 Old Newport Blvd, Newport Beach, CA 92663-4211 | 2016-06-27 |
| 1568823409 | Bernard Pare | Chiropractor | 1350 N Highland Ave Ste A, Los Angeles, CA 90028-7905 | 2016-03-18 |
| 1003275215 | Adam Han Wong | Chiropractor | 1901 Monterey Rd #10, San Jose, CA 95112 | 2016-02-16 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN GROVE |
| Zip Code | 92843 |
Please comment or provide details below to improve the information on PERFORMANCE HEALTH MEDICAL GROUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.