JOSEPH MEDICAL GROUP, INC. (NPI# 1760755839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760755839 |
| Entity Type | Organization |
| Organization Name | JOSEPH MEDICAL GROUP, INC. |
| Other Organization Name | JOSEPH MEDICAL GROUP - BUENA PARK |
| Practice Address |
6261 Stanton Ave Buena Park CA 90621-2436 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 7147394325 |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | KENNY HEINE (SR DIRECTOR OPS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | G61950 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| JOSEPH MEDICAL GROUP - BUENA PARK | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114299948 | Joseph Medical Group, Inc. | Non-Pharmacy Dispensing Site | 15775 Laguna Canyon Rd, Ste 210, Irvine, CA 92618-3189 | 2012-02-09 |
| Street Address |
6261 STANTON AVE |
| City | BUENA PARK |
| State | CA |
| Zip Code | 90621-2436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295711224 | Joseph Medical Group Inc. | Family Medicine | 6261 Stanton Ave, Buena Park, CA 90621-2436 | 2005-12-21 |
| 1700358116 | Young Eun Song | Nurse Practitioner | 6261 Stanton Ave, Buena Park, CA 90621-2436 | 2018-12-24 |
| 1073022828 | Rana Choi | Nurse Practitioner | 6261 Stanton Ave, Buena Park, CA 90621-2436 | 2017-09-25 |
| 1801347273 | Joseph Medical Group Inc. | Specialist | 6261 Stanton Ave, Buena Park, CA 90621-2436 | 2016-10-20 |
| 1710015425 | Joseph D Chun | Allergy & Immunology | 6261 Stanton Ave, Buena Park, CA 90621-2436 | 2007-03-02 |
| 1942395983 | Inil Lisa Lin | Family Medicine | 6261 Stanton Ave, Buena Park, CA 90621-2436 | 2006-10-04 |
| 1912910357 | Jane Bomeen Kong | Family Medicine | 6261 Stanton Ave, Buena Park, CA 90621-2436 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756780 | Jung Hee Lee Kim | Acupuncturist | 6881 Stanton Ave. #f, Buena Park, CA 90621 | 2020-10-08 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1275197733 | Adrian Acosta Dds, A Professional Dental Corporation | Dentist | 4600 Beach Blvd Ste A, Buena Park, CA 90621 | 2019-04-30 |
| 1568965499 | Lasik Eyecare Medical Corporation | Ophthalmology | 5832 Beach Blvd. Suite No. 109 B, Buena Park, CA 90621 | 2018-03-16 |
| 1144743857 | Angel Gabriel Castillo Israel | Nurse Practitioner | 6915 Faculty Circle Apt. D, Buena Park, CA 90621 | 2017-07-25 |
| 1477074813 | Susan Moon Lee | Dentist | 7540 Orangethorpe Ave Ste A1, Buena Park, CA 90621 | 2017-07-06 |
| 1083149637 | Jung Ae Lee | Acupuncturist | 6881 Stanton Avenue, Suite C1, Buena Park, CA 90621 | 2017-04-20 |
| 1528502648 | Boung Kim I | Dentist | 8754 Garden Grove Bld, Garden Grove, CA 90621 | 2016-12-08 |
| 1689116550 | Sara Park | Acupuncturist | 4600 Beach Blvd, Suite M, Buena Park, CA 90621 | 2016-11-09 |
| 1548710783 | Hey Lee | Student in an Organized Health Care Education/Training Program | 7212 Orangeorpe Ave #8, Buena Park, CA 90621 | 2016-10-12 |
| Find all providers in zip 90621 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275977969 | Soledad O. Lee Md, Inc. | Non-Pharmacy Dispensing Site | 6888 Lincoln Ave, Suite M, Buena Park, CA 90620-4107 | 2013-04-24 |
| 1255672713 | Hana Medical Group Inc | Non-Pharmacy Dispensing Site | 8615 Knott Ave, Suite 3, Buena Park, CA 90620-3841 | 2013-03-08 |
| 1932436714 | Genesis Medical Clinic | Non-Pharmacy Dispensing Site | 6189 La Palma Ave, Buena Park, CA 90620-2858 | 2009-11-16 |
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| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
| Find all providers with the same taxonomy | ||||
| City | BUENA PARK |
| Zip Code | 90621 |
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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.