PACIFIC BREAST CARE MEDICAL GROUP, INC. (NPI# 1194936922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194936922 |
| Entity Type | Organization |
| Organization Name | PACIFIC BREAST CARE MEDICAL GROUP, INC. |
| Practice Address |
1640 Newport Blvd Ste 200 Costa Mesa CA 92627-3786 |
| Practice Telephone | 9495153544 |
| Practice Fax Number | 9497066356 |
| Mailing Telephone | 9495153544 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2010-11-10 |
| Authorized Official Name | DR. ALICE M POLICE (PRESIDENT) |
| Authorized Official Telephone | 9495153544 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RM1200X |
Internal Medicine Specialization: Magnetic Resonance Imaging (MRI) |
Allopathic & Osteopathic Physicians | ||
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ARTICLES OF INCORPORATION | 2944453 | 01 |
| CA | MEDICAL LICENSE FIC NAME | FNP35928 | 01 |
| Street Address |
1640 NEWPORT BLVD STE 200 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-3786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639119274 | Lynda L Frye | Radiology | 1640 Newport Blvd Ste 200, Costa Mesa, CA 92627-3786 | 2006-06-08 |
| 1750802195 | Sul Ki Han | Optometrist | 1640 Newport Blvd Ste 200, Costa Mesa, CA 92627-3786 | 2017-07-06 |
| 1225564727 | Jaclyn Leong | Internal Medicine | 1640 Newport Blvd Ste 200, Costa Mesa, CA 92627-3786 | 2017-05-04 |
| 1144564469 | Pacific Breast Care Center | Clinic/Center | 1640 Newport Blvd Ste 200, Costa Mesa, CA 92627-3786 | 2012-11-27 |
| 1326203167 | Catherine J Pike | Specialist | 1640 Newport Blvd Ste 200, Costa Mesa, CA 92627-3786 | 2008-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
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| 1316589765 | Somos Diagnostics, Inc. | Radiology | 1707 Eye St Ste 207, Bakersfield, CA 93301-5208 | 2019-10-16 |
| 1386295335 | Frunze Avoyan / 24 7 Care Diagnostic | Radiology | 401 N Brand Blvd Ste 336, Glendale, CA 91203-4427 | 2019-09-20 |
| 1548816531 | Bg Dx Inc | Radiology | 1750 N Beverly Glen Blvd, Los Angeles, CA 90077-2710 | 2019-08-14 |
| 1649825803 | Mia C Verbonitz | Radiology | 29450 Wooden Boat Dr, Menifee, CA 92585-9067 | 2019-08-05 |
| 1437702388 | Epic Mobil Ultrasound Imaging Inc | Radiology | 15417 Hart St, Van Nuys, CA 91406-5240 | 2019-07-19 |
| 1437618147 | Adventist Health Physicians Network | Radiology | 5125 Skyway Ste E, Paradise, CA 95969-5624 | 2019-03-13 |
| 1851870927 | Bahjat Helmi Alnajjar | Radiology | 5840 Santa Teresa Blvd, San Jose, CA 95123-4131 | 2018-08-09 |
| 1821589151 | Sirius Imaging Inc | Radiology | 14637 1/2 Titus St # B, Panorama City, CA 91402-4942 | 2018-05-22 |
| 1083102503 | Darnell M Nesbitt | Radiology | 1720 Florida St, Vallejo, CA 94590-5317 | 2018-04-30 |
| 1942798699 | Puja R Parikh | Radiology | 9043 Woodman Ave, Arleta, CA 91331-6404 | 2018-04-27 |
| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
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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.