HOUSECALL DOCTORS MEDICAL GROUP INC (NPI# 1033164017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033164017 |
| Entity Type | Organization |
| Organization Name | HOUSECALL DOCTORS MEDICAL GROUP INC |
| Practice Address |
23181 Verdugo Dr Ste 103a Laguna Hills CA 92653-1313 |
| Mailing Address |
260 Calle Campesino San Clemente CA 92672-4553 |
| Practice Telephone | 9493661053 |
| Mailing Telephone | 9493661054 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2017-11-30 |
| Authorized Official Name | DR. NORMAN EDWARD VINN (PRESIDENT) |
| Authorized Official Telephone | 9493661054 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
CNC329272 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
23181 VERDUGO DR STE 103A |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684683 | Sharon Lyn Tanner | Physician Assistant | 23181 Verdugo Dr Ste 103a, Laguna Hills, CA 92653-1313 | 2020-09-16 |
| 1700391190 | Gamiel Alamares | Registered Nurse | 23181 Verdugo Dr Ste 103a, Laguna Hills, CA 92653-1313 | 2017-12-06 |
| 1003955667 | Nuri Park | Nurse Practitioner | 23181 Verdugo Dr Ste 103a, Laguna Hills, CA 92653-1313 | 2007-02-06 |
| 1063513000 | Corazon Escusa Francisco | Nurse Practitioner | 23181 Verdugo Dr Ste 103a, Laguna Hills, CA 92653-1313 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740634898 | Palliative Care Physicians Group Inc | Family Medicine | 23141 Verdugo Dr, 201, Laguna Hills, CA 92653-1341 | 2016-04-14 |
| 1194161703 | Jorge A. Rivero, M.d., Inc. | Family Medicine | 23521 Paseo De Valencia, Suite 108, Laguna Hills, CA 92653-3107 | 2013-05-22 |
| 1043418619 | Anna Yeung | Family Medicine | 22921 Triton Way Ste 125, Laguna Hills, CA 92653-1236 | 2007-07-05 |
| 1013097260 | Jorge A Rivero | Family Medicine | 23521 Paseo De Valencia, Suite 108, Laguna Hills, CA 92653-3107 | 2006-10-16 |
| 1346286721 | Advanced Geriatric Care and Family Practice Associates | Family Medicine | 23521 Paseo De Valencia, Suite 311, Laguna Hills, CA 92653-3144 | 2006-06-22 |
| 1568417525 | Norman Edward Vinn | Family Medicine | 22921 Triton Way, Suite 125, Laguna Hills, CA 92653-1236 | 2006-05-24 |
| 1649234949 | Roger Nguyen Tran | Family Medicine | 23521 Paseo De Valencia, Suite 311, Laguna Hills, CA 92653-3144 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516996 | Natasha Harmis | Family Medicine | 1608 Lawndale Rd, El Cajon, CA 92019-3776 | 2020-10-21 |
| 1073135406 | California Gerontology Clinic | Family Medicine | 1042 S Kingsley Dr Ste 3, Los Angeles, CA 90006-2408 | 2020-05-07 |
| 1225657331 | Samantha Lillian Escalera | Family Medicine | 9608 Planter St, Pico Rivera, CA 90660-4743 | 2020-04-09 |
| 1164058897 | Amani A Osman | Family Medicine | 9753 Holder St, Cypress, CA 90630-4004 | 2020-03-13 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1013549914 | Vertini Medical Group Inc | Family Medicine | 1001 W Carson St Ste S, Torrance, CA 90502-2051 | 2020-02-07 |
| 1295297463 | Cedars Family Medicine Inc | Family Medicine | 18021 Sky Park Cir Ste G, Irvine, CA 92614-6569 | 2019-04-04 |
| 1811455967 | Hope Geriatric Medical Center Inc | Family Medicine | 9 Coursan, Laguna Niguel, CA 92677-8902 | 2019-03-07 |
| 1245702174 | Jonah Medical Group Inc | Family Medicine | 20627 Golden Springs Dr Ste D, Walnut, CA 91789-4814 | 2018-12-17 |
| 1104392885 | Wilshire Connected Care | Family Medicine | 277 South St Ste S, San Luis Obispo, CA 93401-5039 | 2018-10-19 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
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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.