BACH MEDICAL GROUP, INC. (NPI# 1902280019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902280019 |
| Entity Type | Organization |
| Organization Name | BACH MEDICAL GROUP, INC. |
| Other Organization Name | BACH DIAGNOSTICS |
| Practice Address |
1401 N Tustin Ave Suite 310 Santa Ana CA 92705-8699 |
| Practice Telephone | 8005444181 |
| Practice Fax Number | 9492366646 |
| Mailing Telephone | 8005444181 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2017-09-18 |
| Authorized Official Name | DR. DYLAN BACH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7142734991 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
A107094 | CA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 95383 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bach Diagnostics | Doing Business As Name - Organization |
| Street Address |
1401 N TUSTIN AVE SUITE 310 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-8699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690634 | Desmond Edward Mcguire | Ophthalmology | 1401 N Tustin Ave, Ste 220, Santa Ana, CA 92705-8689 | 2005-06-27 |
| 1366002404 | Trissa Marie Melendrez | Counselor | 1401 N Tustin Ave, Santa Ana, CA 92705-8644 | 2019-06-20 |
| 1679139208 | Sonia Campos | Specialist | 1401 N Tustin Ave, Santa Ana, CA 92705 | 2019-05-20 |
| 1316413461 | Amber Rose Harms | Social Worker | 1401 N Tustin Ave, Santa Ana, CA 92705-8644 | 2018-10-16 |
| 1790260230 | Rebecca Duran | Counselor | 1401 N Tustin Ave, Santa Ana, CA 92705-8644 | 2018-10-01 |
| 1679054548 | Charles Arthur Perkins | Counselor | 1401 N Tustin Ave, Santa Ana, CA 92705-8644 | 2018-08-28 |
| 1548756307 | Deane Lares | Counselor | 1401 N Tustin Ave, Santa Ana, CA 92705-8644 | 2018-07-05 |
| 1124559570 | Open System Mri LLC | Radiology | 1401 N Tustin Ave, Ste. 170, Santa Ana, CA 92705-8644 | 2017-03-27 |
| 1245577253 | Kobayashi Chiropractic PC | Chiropractor | 1401 N Tustin Ave, Suite 355, Santa Ana, CA 92705-8644 | 2013-01-10 |
| 1255638482 | Penelope A Schibsted | Marriage & Family Therapist | 1401 N Tustin Ave, Suite 300, Santa Ana, CA 92705-8644 | 2011-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750685780 | Mona Jasuja | Pediatrics | 2650 S Bristol St Ste 101, Santa Ana, CA 92704-5751 | 2011-01-05 |
| 1972807022 | Faraz Valaie | Pediatrics | 15 Macarthur Place, #601, Santa Ana, CA 92707 | 2011-01-04 |
| 1750533535 | Sornya Ponrartana | Pediatrics | 3526 W 1st St, Santa Ana, CA 92703-3302 | 2008-10-13 |
| 1184801573 | Norka Iriarte Wilkinson | Pediatrics | 2212 E 4th St Ste 103, Santa Ana, CA 92705-3871 | 2008-01-28 |
| 1801089578 | Liberty Grace Lowe | Pediatrics | 801 W Civic Center Dr Ste 100, Santa Ana, CA 92701-4079 | 2007-08-24 |
| 1083736474 | South Coast Pediatrics | Pediatrics | 1619 N Spurgeon St, Santa Ana, CA 92701-2328 | 2007-04-04 |
| 1063562908 | Patricia Ann Riba | Pediatrics | 2100 W Alton Ave # 2, Santa Ana, CA 92704-7170 | 2007-01-11 |
| 1245326982 | Oranee Ekmaha Chai | Pediatrics | 1212 S Bristol St, Suite 16, Santa Ana, CA 92704-3476 | 2006-10-04 |
| 1922193598 | Maged G Ramsy | Pediatrics | 2720 Bristol St, Santa Ana, CA 92704 | 2006-10-03 |
| 1225131857 | Saowaree Ponrartana | Pediatrics | 3526 West First Street, Santa Ana, CA 92703-3302 | 2006-09-07 |
| Find all providers in SANTA ANA | ||||
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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.