CADUCEUS PHYSICIANS MEDICAL GROUP (NPI# 1497702724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497702724 |
| Entity Type | Organization |
| Organization Name | CADUCEUS PHYSICIANS MEDICAL GROUP |
| Practice Address |
18300 Yorba Linda Blvd Suite 204 Yorba Linda CA 92886-4052 |
| Mailing Address |
18200 Yorba Linda Blvd Suite 401 Yorba Linda CA 92886-4056 |
| Practice Telephone | 7146468000 |
| Practice Fax Number | 7145722562 |
| Mailing Telephone | 7146468000 |
| Mailing Fax Number | 7145722562 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2011-11-16 |
| Authorized Official Name | GREGG DENICOLA (CEO) |
| Authorized Official Telephone | 7146468000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | CA | Dietary & Nutritional Service Providers | |
| N | 207V00000X | Obstetrics & Gynecology | CA | Allopathic & Osteopathic Physicians | |
| N | 207X00000X | Orthopaedic Surgery | CA | Allopathic & Osteopathic Physicians | |
| N | 207Y00000X | Otolaryngology | CA | Allopathic & Osteopathic Physicians | |
| N | 208000000X | Pediatrics | CA | Allopathic & Osteopathic Physicians | |
| N | 208800000X | Urology | CA | Allopathic & Osteopathic Physicians | |
| N | 213E00000X | Podiatrist | CA | Podiatric Medicine & Surgery Service Providers | |
| N | 225100000X | Physical Therapist | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 225700000X | Massage Therapist | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 247100000X | Radiologic Technologist | CA | Technologists, Technicians & Other Technical Service Providers | |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
CA | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 207R00000X | Internal Medicine | CA | Allopathic & Osteopathic Physicians | |
| N | 207T00000X | Neurological Surgery | CA | Allopathic & Osteopathic Physicians | |
| Y | 207Q00000X | Family Medicine | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0084863 | 05 | |
| CA | CLIA | 05D0938185 | 01 |
| CA | BLUE SHIELD | ZZZ58296Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841404142 | Caduceus Physicians Medical Group | Family Medicine | 333 Thalia St, Laguna Beach, CA 92651-2713 | 2007-05-09 |
| 1285820340 | Caduceus Physicians Medical Group | Family Medicine | 18300 Yorba Linda Blvd, Suite 204, Yorba Linda, CA 92886-4052 | 2007-09-21 |
| Street Address |
18300 YORBA LINDA BLVD SUITE 204 |
| City | YORBA LINDA |
| State | CA |
| Zip Code | 92886-4052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649264847 | Carl William Buckhorn | Internal Medicine | 18300 Yorba Linda Blvd, Ste 204, Yorba Linda, CA 92886-4052 | 2005-09-02 |
| 1578177606 | Stephanie Lauren Spinks | Nurse Practitioner | 18300 Yorba Linda Blvd, Yorba Linda, CA 92886-4052 | 2020-09-05 |
| 1710420252 | Mai Ha | Nurse Practitioner | 18300 Yorba Linda Blvd, Yorba Linda, CA 92886-4052 | 2016-12-01 |
| 1144684499 | Shyla Michelle Witthaus | Registered Nurse | 18300 Yorba Linda Blvd, Yorba Linda, CA 92886 | 2016-04-12 |
| 1114391992 | Matthew Mcgarvey | Physician Assistant | 18300 Yorba Linda Blvd, Suite 204, Yorba Linda, CA 92886-4052 | 2015-11-17 |
| 1902171952 | Doris Caralto | Marriage & Family Therapist | 18300 Yorba Linda Blvd, Ste 204, Yorba Linda, CA 92886-4052 | 2012-03-08 |
| 1437435799 | Jenny Merrill Hall | Counselor | 18300 Yorba Linda Blvd, None, Yorba Linda, CA 92886-4052 | 2011-10-31 |
| 1194015107 | Sally Tran | Dietitian, Registered | 18300 Yorba Linda Blvd, Yorba Linda, CA 92886-4052 | 2011-04-11 |
| 1366771891 | Christina J Caputo | Physician Assistant | 18300 Yorba Linda Blvd, Yorba Linda, CA 92886-4052 | 2009-12-11 |
| 1770761132 | Scott W Penkoff | Family Medicine | 18300 Yorba Linda Blvd, Suite 204, Yorba Linda, CA 92886-4052 | 2008-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719323 | Mualla Akdeniz | Technician | 5125 Avocado Cir, Yorba Linda, CA 92886 | 2019-09-13 |
| 1790175651 | Robert Harrison Collier | Ophthalmology | 5377 Via Morena, Yorba Linda, CA 92886 | 2015-01-30 |
| 1013306695 | Henry Hoanh Tran | Occupational Therapist | 4711 Avenida De Las Estell, Yorba Linda, CA 92886 | 2015-01-20 |
| 1750770947 | Cecille Suzette Yu | Registered Nurse | 18080 Imperial Highway, Yorba Linda, CA 92886 | 2015-01-12 |
| 1922439256 | Britni Rodriguez | Acupuncturist | 17866 Ranch Dr, Yorba Linda, CA 92886 | 2013-12-12 |
| 1083048755 | Usura Management Corporation | Durable Medical Equipment & Medical Supplies | 20409 Yorba Linda Blvd, Yorba Linda, CA 92886 | 2013-08-29 |
| 1912215955 | Goretti Kantumbare Macharia | Licensed Vocational Nurse | 16742 Meadowview Dr, Yorba Linda, CA 92886 | 2010-09-23 |
| 1548576929 | Nancee Renee Perez | Dietitian, Registered | 18200 Yorba Linda Boulevard, Suite 401, Yorba Linda, CA 92886 | 2010-08-24 |
| 1366764300 | Marcela Fabiola O'con | Registered Nurse | 4795 Logana Plz, Yorba Linda, CA 92886 | 2010-02-18 |
| 1598996126 | R.e. Mayer, D.d.s., P.C. | Dentist | 2901 E. Katella Avenue, Suite A, Orange, CA 92886 | 2009-07-30 |
| Find all providers in zip 92886 | ||||
| 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 |
|---|---|---|---|---|
| 1124534904 | Rania Botros Hanna | Family Medicine | 5344 Los Monteros, Yorba Linda, CA 92887-5107 | 2017-12-16 |
| 1265815302 | Renu Bhupathy | Family Medicine | 16960 Bastanchury Rd Ste I, Yorba Linda, CA 92886-1711 | 2015-07-07 |
| 1588946339 | Megha S Chavan | Family Medicine | 17142 Santa Cruz Ct, Yorba Linda, CA 92886-6244 | 2011-09-16 |
| 1275703605 | Linda Tran | Family Medicine | 20635 Yorba Linda Blvd, Suite R-1, Yorba Linda, CA 92886-7133 | 2008-02-29 |
| 1023166683 | Donna P. Hammel-davis | Family Medicine | 24475 Paseo De Toronto, Yorba Linda, CA 92887-4939 | 2007-01-08 |
| 1578664934 | Hiren C Shah | Family Medicine | 19713 Yorba Linda Blvd, Suite#54, Yorba Linda, CA 92886-3532 | 2006-09-26 |
| 1225046097 | Sangeeta Lall Kumar | Family Medicine | 18762 Pimlico Ter, Yorba Linda, CA 92886-7016 | 2006-08-04 |
| 1558349316 | Maria Ashton Hutchinson | Family Medicine | 16960 Bastanchury Road, Suite H, Yorba Linda, CA 92886 | 2006-01-03 |
| 1336149335 | James Leonard | Family Medicine | 4900 Prospect Ave, Yorba Linda, CA 92886-2128 | 2005-08-01 |
| 1114927720 | Fred Hurst | Family Medicine | 4300 Rose Dr, Yorba Linda, CA 92886-2026 | 2005-07-26 |
| Find all providers in YORBA LINDA | ||||
| City | YORBA LINDA |
| Zip Code | 92886 |
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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.