BRISTOL PARK MEDICAL GROUP, INC (NPI# 1427005180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427005180 |
| Entity Type | Organization |
| Organization Name | BRISTOL PARK MEDICAL GROUP, INC |
| Practice Address |
3010 W Orange Ave Anaheim CA 92804-3172 |
| Mailing Address |
2742 Dow Ave Tustin CA 92780-7242 |
| Practice Telephone | 7148261200 |
| Practice Fax Number | 7142295399 |
| 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 | 7146651600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR006919A | 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 |
| 1386691004 | Bristol Park Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 250 E Yale Loop, Suite 200, Irvine, CA 92604-4697 | 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 |
3010 W ORANGE AVE |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92804-3172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205826583 | Kamran Haghighat | Internal Medicine | 3010 W Orange Ave, Ste. 302, Anaheim, CA 92804-3169 | 2005-10-26 |
| 1598126591 | Medphaco Inc | Pharmacy | 3010 W Orange Ave, #101, Anaheim, CA 92804-3170 | 2016-03-18 |
| 1255740304 | Huan Nguyen | Pharmacist | 3010 W Orange Ave, Suite 101, Anaheim, CA 92804-3169 | 2014-08-02 |
| 1356756712 | M. Rajudin, M.d., Inc. | Internal Medicine | 3010 W Orange Ave, Suite 404, Anaheim, CA 92804-3169 | 2014-06-24 |
| 1306276704 | William J Kopelman Inc | Clinic/Center | 3010 W Orange Ave, Suite 503, Anaheim, CA 92804-3169 | 2013-11-21 |
| 1831446848 | United Vascular Access Center Corp | Clinic/Center | 3010 W Orange Ave, Suite 500, Anaheim, CA 92804-3169 | 2012-08-08 |
| 1205131448 | Memorialcare Medical Foundation | Internal Medicine | 3010 W Orange Ave, #302, Anaheim, CA 92804-3169 | 2011-01-19 |
| 1073813556 | Hwa Mu Lee, M.d., Inc | Internal Medicine | 3010 W Orange Ave, Suite 103, Anaheim, CA 92804-3170 | 2010-10-29 |
| 1427231463 | Bingbing Zhu | Acupuncturist | 3010 W Orange Ave, Ste 507, Anaheim, CA 92804 | 2007-12-13 |
| 1437338340 | Wayne T Nishigaya, M.d. | Family Medicine | 3010 W Orange Ave, Suite 201, Anaheim, CA 92804-3169 | 2007-10-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
| 1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
| 1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
| 1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
| 1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
| Find all providers in zip 92804 | ||||
| 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. |
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|---|---|---|---|---|
| 1750928297 | Dr Ekta Sharma Md Mph Inc | Family Medicine | 905 S Canyon Heights Dr, Anaheim, CA 92808-1683 | 2019-12-03 |
| 1558924498 | Careplus Medical Clinic | Family Medicine | 5783 E La Palma Ave, Anaheim, CA 92807-2229 | 2019-04-16 |
| 1346723665 | Access California Services | Family Medicine | 631 S Brookhurst St Ste 107, Anaheim, CA 92804-3576 | 2018-09-12 |
| 1114457538 | A&c Urgent Care Inc | Family Medicine | 1000 S Anaheim Blvd Ste 200, Anaheim, CA 92805 | 2017-06-18 |
| 1205364569 | Calvin Triet Doan | Family Medicine | 925 S Euclid St, Anaheim, CA 92802-1522 | 2017-05-31 |
| 1235666744 | Maria Corazon Meris Md Inc | Family Medicine | 3400 W Ball Rd Ste 102, Anaheim, CA 92804-3735 | 2017-05-15 |
| 1255863338 | Grey Le | Family Medicine | 947 S Anaheim Blvd Ste 125, Anaheim, CA 92805-5584 | 2017-03-29 |
| 1851711014 | Anhthu T Nguyen | Family Medicine | 2140 S State College Blvd Apt 3014, Anaheim, CA 92806-0162 | 2014-04-25 |
| 1801214788 | Catherine Marks | Family Medicine | 3400 West Ball Rd, Suite 202, Anaheim, CA 92804-3735 | 2014-03-28 |
| 1982966883 | Salma Ahmed Farukhi | Family Medicine | 2040 S. Santa Cruz Street, #245, Anaheim, CA 92803-5090 | 2012-06-15 |
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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.