| Family Care Centers Medical Group | |
|
660 Baker St Ste A101 Costa Mesa CA 92626-4407 | |
| (714) 668-2500 | |
| (714) 668-2515 |
| Full Name | Family Care Centers Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 660 Baker St Ste A101, Costa Mesa, California |
| Authorized Official Name and Position | David S Kim (PRESIDENT) |
| Authorized Official Contact | 6572413500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Centers Medical Group Po Box 2218 Suisun City CA 94585-5218 Ph: (657) 241-3600 | Family Care Centers Medical Group 660 Baker St Ste A101 Costa Mesa CA 92626-4407 Ph: (714) 668-2500 |
| NPI Number | 1275584120 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 02/21/2024 |
| Medicare PECOS PAC ID | 4587678065 |
|---|---|
| Medicare Enrollment ID | O20090124000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275584120 | NPI | - | NPPES |
| DE5878 | Other | CA | MEDICARE RAILROAD |
| Provider Name | Dana Yan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225077027 PECOS PAC ID: 5597753731 Enrollment ID: I20040505000649 |
| Provider Name | Jared T Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568401057 PECOS PAC ID: 9537134838 Enrollment ID: I20040831000387 |
| Provider Name | Lisa Renee Ponsford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720004088 PECOS PAC ID: 0840268868 Enrollment ID: I20040917000851 |
| Provider Name | Lincoln E Tom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629186820 PECOS PAC ID: 8527016633 Enrollment ID: I20050105000788 |
| Provider Name | Sara T Chau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619194107 PECOS PAC ID: 7719930916 Enrollment ID: I20050228001025 |
| Provider Name | Hye O Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306852538 PECOS PAC ID: 5597709592 Enrollment ID: I20050610000328 |
| Provider Name | Gina-nga T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710035688 PECOS PAC ID: 4082648993 Enrollment ID: I20050920001363 |
| Provider Name | Karen Y Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457384315 PECOS PAC ID: 9133148208 Enrollment ID: I20051117000574 |
| Provider Name | Geraldina P Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598965741 PECOS PAC ID: 4082633805 Enrollment ID: I20051121001036 |
| Provider Name | Peter Lee Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609815224 PECOS PAC ID: 7113941626 Enrollment ID: I20060124000420 |
| Provider Name | David C Bunten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679527857 PECOS PAC ID: 4284648767 Enrollment ID: I20060203000606 |
| Provider Name | Brian C Coyne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457306334 PECOS PAC ID: 5193739670 Enrollment ID: I20060203000607 |
| Provider Name | Catou L Greenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528008828 PECOS PAC ID: 9133148380 Enrollment ID: I20060403000396 |
| Provider Name | Joan Boughey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134166614 PECOS PAC ID: 1850300567 Enrollment ID: I20060407000221 |
| Provider Name | Carol Shi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033151402 PECOS PAC ID: 0042255242 Enrollment ID: I20070319000537 |
| Provider Name | Howard A Fishbein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689629487 PECOS PAC ID: 4688690001 Enrollment ID: I20070420000354 |
| Provider Name | Nancy J Mcginn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043254998 PECOS PAC ID: 6507921806 Enrollment ID: I20090220000308 |
| Provider Name | Jennifer L Shoquist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346475118 PECOS PAC ID: 8426108689 Enrollment ID: I20090609000443 |
| Provider Name | Jay P Friehling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225239510 PECOS PAC ID: 5496940280 Enrollment ID: I20101105000717 |
| Provider Name | Karizza B Asper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316287055 PECOS PAC ID: 7315168259 Enrollment ID: I20141017002374 |
| Provider Name | Rubiceli V Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114359429 PECOS PAC ID: 3870807423 Enrollment ID: I20150731015840 |
| Provider Name | Katayun Saadai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225358989 PECOS PAC ID: 5294027264 Enrollment ID: I20160712001627 |
| Provider Name | Suwen Wu Pan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881142438 PECOS PAC ID: 3870874258 Enrollment ID: I20161222000903 |
| Provider Name | Anahita S Behmardian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437607041 PECOS PAC ID: 3173896537 Enrollment ID: I20170906002414 |
| Provider Name | Aisha Khalid Memon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740620046 PECOS PAC ID: 3870889215 Enrollment ID: I20170915000491 |
| Provider Name | Cassandra Lee Tom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609325430 PECOS PAC ID: 7113287376 Enrollment ID: I20180207002587 |
| Provider Name | Mendy D Nehrbass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902308810 PECOS PAC ID: 8820332034 Enrollment ID: I20181128003181 |
| Provider Name | Laura Elizabeth Jardine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902381155 PECOS PAC ID: 5890032197 Enrollment ID: I20190124001671 |
| Provider Name | William I Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235593104 PECOS PAC ID: 4587959895 Enrollment ID: I20190306000919 |
| Provider Name | Madison A Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780178996 PECOS PAC ID: 3072846914 Enrollment ID: I20190610000808 |
| Provider Name | Alexandra E Kocher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013579952 PECOS PAC ID: 4688900871 Enrollment ID: I20190725002169 |
| Provider Name | Marenna R Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063078806 PECOS PAC ID: 7810223633 Enrollment ID: I20190731001272 |
| Provider Name | Sharon Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073073649 PECOS PAC ID: 4688903172 Enrollment ID: I20190909002732 |
| Provider Name | Tiffany Leighanne Barajas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902454002 PECOS PAC ID: 4587091301 Enrollment ID: I20200217002312 |
| Provider Name | Julie Y Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629667084 PECOS PAC ID: 4981003035 Enrollment ID: I20210524000855 |
| Provider Name | Christina Leigh Demarinis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861094815 PECOS PAC ID: 3779976766 Enrollment ID: I20220216000584 |
| Provider Name | Michelle C Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952963498 PECOS PAC ID: 6800271636 Enrollment ID: I20220915000995 |
| Provider Name | Jennifer Salaveria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205470408 PECOS PAC ID: 6204206147 Enrollment ID: I20230110002001 |
| Provider Name | Sierra Marie Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386353746 PECOS PAC ID: 6204207723 Enrollment ID: I20230120000625 |
Nazli Ahmed, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Victoria St, # 2m, Costa Mesa, CA 92627 Phone: 949-642-5390 Fax: 949-642-1224 | |
Roberto N Valenton Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Victoria St, Costa Mesa, CA 92627 Phone: 949-642-2734 | |
Bristol Park Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 722 Baker St, Costa Mesa, CA 92626 Phone: 714-557-6300 Fax: 714-966-9567 | |
Shahrestani Chiropractic Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2328 Newport Blvd, Costa Mesa, CA 92627 Phone: 949-631-3139 Fax: 949-631-0747 | |
Md24 San Diego, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Anton Blvd Ste 1100, Costa Mesa, CA 92626 Phone: 623-374-7774 | |
Coastal Mesa Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 777 W 19th St Ste J, Costa Mesa, CA 92627 Phone: 657-203-2133 | |
Newport Mesa Medical Group, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 275 Victoria St, Ste 1e, Costa Mesa, CA 92627 Phone: 949-574-3615 |