PALOMA MEDICAL GROUP INC (NPI# 1346331725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346331725 |
| Entity Type | Organization |
| Organization Name | PALOMA MEDICAL GROUP INC |
| Practice Address |
30230 Rancho Viejo Rd Suite 200 San Juan Capistrano CA 92675-1557 |
| Mailing Address |
Po Box 7087 Orange CA 92863-7087 |
| Practice Telephone | 9494434303 |
| Practice Fax Number | 9494434033 |
| Mailing Telephone | 7145715000 |
| Mailing Fax Number | 7145715055 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2012-09-16 |
| Authorized Official Name | MICHAEL ANTHONY ROVZAR (PRESIDENT) |
| Authorized Official Telephone | 9494434303 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | G54979 | CA | Other Service Providers |
| N | 174400000X | Specialist | 20A7942 | CA | Other Service Providers |
| N | 174400000X | Specialist | A74701 | CA | Other Service Providers |
| Y | 174400000X | Specialist | G53398 | CA | Other Service Providers |
| Street Address |
30230 RANCHO VIEJO RD SUITE 200 |
| City | SAN JUAN CAPISTRANO |
| State | CA |
| Zip Code | 92675-1557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982655304 | Patricia Ann Ahearn | Specialist | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2006-05-12 |
| 1033501077 | Pacific Private Practice Network Inc | Family Medicine | 30230 Rancho Viejo Rd, Suite 110, San Juan Capistrano, CA 92675-1557 | 2015-02-27 |
| 1679816680 | Karen Jean Caruso | Nurse Practitioner | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2013-03-28 |
| 1801129663 | Sanjivan Singh Kohli | Internal Medicine | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2009-09-11 |
| 1124250022 | Prajan Subedi | Internal Medicine | 30230 Rancho Viejo Rd, 200, San Juan Capistrano, CA 92675-1557 | 2009-08-12 |
| 1871785220 | Bryan O King | Internal Medicine | 30230 Rancho Viejo Rd, Ste 200, San Juan Capistrano, CA 92675-1557 | 2007-08-09 |
| 1306910906 | Beverly R Hendrickson | Pediatrics | 30230 Rancho Viejo Rd, Suite A, San Juan Capistrano, CA 92675 | 2006-11-17 |
| 1447330915 | Rahul Madhav Kale | Internal Medicine | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2006-10-17 |
| 1457431504 | William Gustin | Hospitalist | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2006-10-16 |
| 1417902149 | William Weiming Chang | Specialist | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184268088 | Dana Caballero | Social Worker | 30240 Racho Viejo Rd, Suite C-1, San Juan Capistrano, CA 92675 | 2019-11-04 |
| 1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
| 1487132551 | Alex James Vanderschelden | Chiropractor | 36461 Rancho Viejo Rd. Suiete 103, Suite 103, San Juan Capistrano, CA 92675 | 2018-08-01 |
| 1295224780 | Gateway Healthcare, Inc. | Skilled Nursing Facility | 29222 Rancho Viejo Rd Ste 127, San Juan Capistrano, CA 92675 | 2018-05-09 |
| 1033606991 | Pelican Point Dental | Dentist | 31103 Rancho Viejo Road Ste D2444, San Juan Capistrano, CA 92675 | 2018-04-17 |
| 1639677511 | Ocean Hills Recovery Inc. | Substance Abuse Rehabilitation Facility | 27126b Paseo Espada, Suite 725, San Juan Capistrano, CA 92675 | 2018-01-25 |
| 1679091441 | D Dawn Maxwell | Counselor | 30950 Rancho Viejo Rd Suite 225, San Juan Capistrano, CA 92675 | 2017-08-31 |
| 1417491523 | Terry D'amico | Physical Therapy Assistant | 32961 Calle Miguel, San Juan Capistrano, CA 92675 | 2016-12-08 |
| 1235580556 | Marriage Made Better Relationship Counseling | Community/Behavioral Health | 30200 Rancho Viejo Road, Suite D, San Juan Capistrano, CA 92675 | 2016-06-28 |
| 1679923288 | Shanti Recovery Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 31211 Casa Grande Drive, San Juan Capistrano, CA 92675 | 2016-06-14 |
| Find all providers in zip 92675 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124228820 | Barbara Lee Klein-robuck | Specialist | 27703 Ortega Hwy Spc 39, San Juan Capistrano, CA 92675-1958 | 2007-07-20 |
| 1376654756 | Adobe Medical Group Inc | Specialist | 31921 Camino Capistrano, Suite 19, San Juan Capistrano, CA 92675-3210 | 2006-08-31 |
| 1982655304 | Patricia Ann Ahearn | Specialist | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2006-05-12 |
| 1356303168 | Tlc Pediatrics Medical Group | Specialist | 30210 Rancho Viejo Rd, Suite A, San Juan Capistrano, CA 92675-1574 | 2006-04-05 |
| 1285032276 | Tiffany Sandoval | Specialist | 30220 Rancho Viejo Rd, Suite #e, San Juan Capistrano, CA 92675-1568 | 2014-12-08 |
| 1417902149 | William Weiming Chang | Specialist | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2006-05-23 |
| 1881647642 | Yu-hua Fang | Specialist | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2006-05-19 |
| 1184675688 | Michael Anthony Rovzar | Specialist | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113072 | Jonalyn Coronel | Specialist | 653 Canyon Rd, Novato, CA 94947-4331 | 2020-10-28 |
| 1497353239 | Nadia Nodoust-christensen | Specialist | 1627 Curtis Ave, Manhattan Beach, CA 90266-7022 | 2020-10-14 |
| 1073111936 | Griffin Nutrition Xterem | Specialist | 21575 Dome Trl, Topanga, CA 90290-3645 | 2020-10-13 |
| 1811503162 | George Thomas Lafortune | Specialist | 7927 Painter Ave Ste 200, Whittier, CA 90602-2480 | 2020-09-22 |
| 1699383661 | Transgender Health and Wellness Center | Specialist | 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 | 2020-07-16 |
| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
| 1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1811510043 | Michael J Kodrich | Specialist | 40555 California Oaks Rd, Murrieta, CA 92562-5723 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
| City | SAN JUAN CAPISTRANO |
| Zip Code | 92675 |
Please comment or provide details below to improve the information on PALOMA 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.