BRISTOL PARK MEDICAL GROUP, INC (NPI# 1386691004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386691004 |
| Entity Type | Organization |
| Organization Name | BRISTOL PARK MEDICAL GROUP, INC |
| Practice Address |
250 E Yale Loop Suite 200 Irvine CA 92604-4697 |
| Mailing Address |
2742 Dow Ave Tustin CA 92780-7242 |
| Practice Telephone | 9495511090 |
| Practice Fax Number | 9492625500 |
| Mailing Telephone | 7146651600 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2008-10-15 |
| Authorized Official Name | MR. MARK D SCHAFER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7146651661 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR006919B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548348113 | Bristol Park Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 2742 Dow Ave, Tustin, CA 92780-7242 | 2006-11-01 |
| 1063469229 | Bristol Park Medical Group, Inc | Internal Medicine | 26991 Crown Valley Pkwy, Mission Viejo, CA 92691-6528 | 2006-05-31 |
| 1427005180 | Bristol Park Medical Group, Inc | Internal Medicine | 3010 W Orange Ave, Anaheim, CA 92804-3172 | 2006-05-28 |
| 1689621260 | Bristol Park Medical Group, Inc | Internal Medicine | 11420 Warner Ave, Fountain Valley, CA 92708-2529 | 2006-05-28 |
| 1437105509 | Bristol Park Medical Group, Inc | Pediatrics | 15 Mareblu, Suite 100, Aliso Viejo, CA 92656-3015 | 2006-05-26 |
| 1043266760 | Bristol Park Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 722 Baker St, Costa Mesa, CA 92626-4320 | 2006-05-25 |
| Street Address |
250 E YALE LOOP SUITE 200 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-4697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689665036 | Brian Solow | Family Medicine | 250 E Yale Loop, Ste 200, Irvine, CA 92604-4697 | 2005-11-03 |
| 1659810042 | Matthew Le | Physical Therapist | 250 E Yale Loop, Ste. 201, Irvine, CA 92604-4697 | 2017-02-17 |
| 1386182921 | Daniel Burke | Physical Therapist | 250 E Yale Loop, Ste. 201, Irvine, CA 92604-4697 | 2017-02-02 |
| 1336500859 | Gillian Virginia Foley | Physical Therapist | 250 E Yale Loop, 201, Irvine, CA 92604-4697 | 2016-03-10 |
| 1629437835 | Rabin A. Marfatia Dds, Inc. | Dentist | 250 E Yale Loop, Suite 205, Irvine, CA 92604-4697 | 2016-02-16 |
| 1801286935 | University Head & Neck Surgeons | Otolaryngology | 250 E Yale Loop, Suite 200, Irvine, CA 92604-4697 | 2015-01-27 |
| 1881967040 | Sarah Lynn Campbell | Nurse Practitioner | 250 E Yale Loop, Ste 204, Irvine, CA 92604-4697 | 2012-02-20 |
| 1205105913 | Amanda A Binns | Internal Medicine | 250 E Yale Loop, Ste 204, Irvine, CA 92604-4697 | 2011-12-26 |
| 1477822807 | Coury and Buehler Physical Therapy - Irvine, Inc. | Clinic/Center | 250 E Yale Loop, Ste. 201, Irvine, CA 92604-4697 | 2011-12-13 |
| 1295032985 | Memorialcare Medical Foundation | Internal Medicine | 250 E Yale Loop, Suite 200, Irvine, CA 92604-4697 | 2011-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| 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 |
|---|---|---|---|---|
| 1720621634 | Sherif Labatia Md & Marianne Mikhail Md Inc | Family Medicine | 4950 Barranca Pkwy Ste 308, Irvine, CA 92604-4631 | 2019-10-23 |
| 1770068629 | St Joseph Heritage Healthcare | Family Medicine | 1 Edwards Way, Irvine, CA 92614-5688 | 2018-09-26 |
| 1851888671 | Infinity Medicine Inc | Family Medicine | 9950 Research Dr, Irvine, CA 92618-4309 | 2018-04-17 |
| 1336650068 | Newport Personal Medicine, Inc. | Family Medicine | 22 Odyssey Ste 110, Irvine, CA 92618-3186 | 2017-10-20 |
| 1457886095 | Wayland Tang | Family Medicine | 3877 Portola Pkwy, Irvine, CA 92602-0828 | 2017-04-20 |
| 1891148102 | Community Performancerx Mso, LLC | Family Medicine | 9701 Jeronimo Rd, Suite 300, Irvine, CA 92618-2076 | 2016-07-21 |
| 1376998732 | Janet Solis | Family Medicine | 307 Verano Pl, Irvine, CA 92617-3107 | 2016-05-04 |
| 1164878534 | Sadaf Sareshwala | Family Medicine | 1001 Health Sciences Rd, Irvine, CA 92697-3054 | 2016-05-04 |
| 1538543376 | Network of Orange County Community Health Center | Family Medicine | 17701 Cowan, Suite 220, Irvine, CA 92614-6057 | 2015-07-10 |
| 1518349216 | St Jude Hospital Yorba Linda, Inc. | Family Medicine | 3355 Michelson Dr, Ste. 490, Irvine, CA 92612-0684 | 2015-06-18 |
| Find all providers in IRVINE | ||||
Please comment or provide details below to improve the information on BRISTOL PARK MEDICAL GROUP, INC.
| 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.