PACIFIC CREST MEDICAL GROUP, INC. (NPI# 1225011976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225011976 |
| Entity Type | Organization |
| Organization Name | PACIFIC CREST MEDICAL GROUP, INC. |
| Practice Address |
32341 Golden Lantern Suite M Laguna Niguel CA 92677-5343 |
| Practice Telephone | 9495970124 |
| Practice Fax Number | 9495970124 |
| Mailing Telephone | 9495970124 |
| Mailing Fax Number | 9495970124 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. KARLA J ANDERSON (MEDICAL BILLER) |
| Authorized Official Telephone | 9495970124 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | C040002 | CA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | C037249 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
32341 GOLDEN LANTERN SUITE M |
| City | LAGUNA NIGUEL |
| State | CA |
| Zip Code | 92677-5343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871671073 | Hugh E Murray IIi | Dentist | 32341 Golden Lantern, Ste B, Laguna Niguel, CA 92677 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114566049 | Amber Kramer | Physical Therapist | 30100 Town Center Drive #yz, Laguna Niguel, CA 92677 | 2019-12-23 |
| 1811548340 | Morgan Peikar | Rehabilitation Hospital | 28441 Springfield Dr, Laguna Niguel, CA 92677 | 2019-09-25 |
| 1871056382 | Jacqueline Evamarie Serrano | Chiropractor | 28062 Forbes Road, Laguna Niguel, CA 92677 | 2019-04-11 |
| 1316408859 | Azadeh Ghafari | Social Worker | 30100 Town Center Dr # 179, Laguna Niguel, CA 92677 | 2019-03-27 |
| 1346741857 | Diana Wang | Physical Medicine & Rehabilitation | 30100 Town Center Drive Suite, Suite Yz, Laguna Niguel, CA 92677 | 2018-02-21 |
| 1750833554 | James H. Tran Dds, Dental Corp. | Dentist | 23876 Aliso Creek Road, Laguna Niguel, CA 92677 | 2016-10-27 |
| 1215486139 | Kevin Sun | Dentist | 49 Blue Horizon, Laguna Niguel, CA 92677 | 2016-10-04 |
| 1740637842 | Michael Dacosta | Dentist | 28862 Calle Vista, Laguna Niguel, CA 92677 | 2016-05-18 |
| 1235590373 | Adrian Gomez | Counselor | 24361 Nugget Falls Ln, Laguna Niguel, CA 92677 | 2016-03-17 |
| 1427455906 | Gracie Heart Home Health LLC | Home Health | 24318 El Pilar, Laguna Niguel, CA 92677 | 2014-11-26 |
| Find all providers in zip 92677 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801232822 | Sarah Nicole Brewer | Family Medicine | 30131 Town Center Dr Ste 135, Laguna Niguel, CA 92677 | 2013-05-16 |
| 1962776724 | Vic Sam Simonian | Family Medicine | 6 Burning Tree, Laguna Niguel, CA 92677-5305 | 2012-02-25 |
| 1902125776 | Behnaz Haghighi Motlagh | Family Medicine | 27781 La Paz Rd, Laguna Niguel, CA 92677-3919 | 2010-05-19 |
| 1851537781 | Dr. Ali Mor, M.d., Inc. | Family Medicine | 4 Larkfield Ln, Laguna Niguel, CA 92677-5323 | 2008-12-24 |
| 1992975957 | Susan Jung Lee | Family Medicine | 27231 La Paz Rd Ste A, Laguna Niguel, CA 92677-3627 | 2008-03-06 |
| 1346442910 | Leonard Larry Malin | Family Medicine | 29752 Ivy Glenn Dr, 30025 Alicia Parkway, Suite #136, Laguna Niguel, CA 92677-1732 | 2007-06-04 |
| 1952335598 | Michael A. Kent | Family Medicine | 25500 Rancho Niguel, 100, Laguna Niguel, CA 92677-7302 | 2006-07-10 |
| 1275598765 | Jyotin K Patel | Family Medicine | 30110 Crown Valley Pkwy, Suite 101, Laguna Niguel, CA 92677-2043 | 2006-04-19 |
| 1578536553 | James W Connor | Family Medicine | 27231 La Paz Rd, Suite #a, Laguna Niguel, CA 92677-3627 | 2006-02-09 |
| 1467908178 | Travis Neighbor | Family Medicine | 30131 Town Center Dr Ste 135, Laguna Niguel, CA 92677-2010 | 2016-09-01 |
| Find all providers in LAGUNA NIGUEL | ||||
| City | LAGUNA NIGUEL |
| Zip Code | 92677 |
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| 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.