EAGAN MEDICAL GROUP INC (NPI# 1265946289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265946289 |
| Entity Type | Organization |
| Organization Name | EAGAN MEDICAL GROUP INC |
| Practice Address |
7677 Center Ave Ste 208 Huntington Beach CA 92647-9102 |
| Practice Telephone | 8885031549 |
| Mailing Telephone | 8885031549 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |
| Authorized Official Name | DR. TERRY EAGAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8885031549 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265995401 | Eagan Medical Group Inc | Psychiatry & Neurology | 7514 N Mo Pac Expy Ste 100, Austin, TX 78731-3168 | 2019-04-12 |
| Street Address |
7677 CENTER AVE STE 208 |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92647-9102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164085791 | Nishu Karki, M. D., A Professional Corporation | Internal Medicine | 7677 Center Ave Ste 208, Huntington Beach, CA 92647-9102 | 2019-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464231 | Patricia Michelle Ramsey | Counselor | 16761 Viewpoint Lane, Apt 386, Huntington Beach, CA 92647 | 2018-01-02 |
| 1780103390 | Luz Flores | Health Educator | 8041 Newman Avenue, Hungtington Beach, CA 92647 | 2017-09-14 |
| 1134649106 | Louise Polzel | Social Worker | 17111 Beach Blvd St 205, Huntington Beach, CA 92647 | 2017-06-21 |
| 1205364015 | Chi Hong Nguyen | Family Medicine | 8201 Newman Ave 101, Huntington, CA 92647 | 2017-05-24 |
| 1396281770 | Sandra Vera | Specialist/Technologist | 7812 Edinger Ave. #400, Huntington Beach, CA 92647 | 2017-01-10 |
| 1245773050 | Sherika Benjamin | Technician, Pathology | 8211 San Angelo Drive Suit #f2, Huntington Beach, CA 92647 | 2016-11-28 |
| 1306389440 | Nhi Pham Nguyen | Behavioral Analyst | 17732 Beach Blvd., Suite G, Huntington Beach, CA 92647 | 2016-11-21 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1699148494 | Daniel Bui | Dentist | 16900-a Goldenwest St, Huntington Beach, CA 92647 | 2015-11-03 |
| 1598132359 | Hayley Patricia Buchanan | Specialist/Technologist | 23441 S. Pointe Drive, Suite 245, Laguna Hills, ORANGE COUNTY 92647 | 2015-08-27 |
| Find all providers in zip 92647 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750812814 | Current Diagnostics Professional, LLC | Psychiatry & Neurology | 1825 Park St, Huntington Beach, CA 92648-2734 | 2017-03-21 |
| 1649567165 | Farzin Benjamin Pedouim | Psychiatry & Neurology | 18377 Beach Blvd Ste 330, Huntington Beach, CA 92648 | 2011-07-05 |
| 1205016284 | Richard M Sax | Psychiatry & Neurology | 16033 Bolsa Chica St Ste 104, Suite 602, Huntington Beach, CA 92649-2452 | 2007-11-07 |
| 1760423354 | Duk Hwan Kim | Psychiatry & Neurology | 8622 Masters Dr, Huntington Beach, CA 92646-4524 | 2006-06-08 |
| 1801449392 | Neurology and Cognitive Neuroscience Institute, Inc. | Psychiatry & Neurology | 18377 Beach Blvd Ste 330, Huntington Beach, CA 92648 | 2019-07-23 |
| 1295137602 | Zhanna Rapoport, Md, Inc. | Psychiatry & Neurology | 7677 Center Ave, Ste 200, Huntington Beach, CA 92647-3074 | 2014-09-17 |
| 1801222039 | Mp Advanced Neurology, Inc. | Psychiatry & Neurology | 19582 Beach Blvd, Huntington Beach, CA 92648-2996 | 2013-09-19 |
| 1306871421 | James Jongtak Park | Psychiatry & Neurology | 17822 Beach Blvd, Suite 419, Huntington Beach, CA 92647-7101 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352876 | Riverside Optimal Healthcare, Inc | Psychiatry & Neurology | 13320 Riverside Dr Ste 204, Sherman Oaks, CA 91423-2512 | 2020-10-08 |
| 1710592431 | Muhammad Amin | Psychiatry & Neurology | 33433 Pony Loop, Fremont, CA 94555-3511 | 2020-09-10 |
| 1558973792 | Catalyst Neuromedical Center PC | Psychiatry & Neurology | 3305 Placer St Ste B, Redding, CA 96001-2378 | 2020-08-19 |
| 1134730906 | West Coast Valley Medical Inc | Psychiatry & Neurology | 3357 Cahuenga Blvd W # 18, Los Angeles, CA 90068-1327 | 2020-08-13 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1427689256 | Alejandro F Centurion Md Inc | Psychiatry & Neurology | 100 Clock Tower Pl Ste 225, Carmel, CA 93923-8778 | 2020-01-30 |
| 1659901254 | Kern County Neurological Medical Group, Inc | Psychiatry & Neurology | 18645 Gale Ave Ste 228b, City of Industry, CA 91748-1363 | 2020-01-22 |
| 1609415314 | Aspire Holdings, Inc | Psychiatry & Neurology | 28212 Kelly Johnson Pkwy Ste 215, Valencia, CA 91355-5090 | 2019-12-27 |
| 1336785187 | Tp-health Ca PC | Psychiatry & Neurology | 201 E Center St Ste 112, Anaheim, CA 92805-7212 | 2019-11-26 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92647 |
Please comment or provide details below to improve the information on EAGAN 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.