Saddleback Medical Group Inc | |
24221 Calle De La Louisa Suite 400 Laguna Hills CA 92653-7638 | |
(949) 465-8155 | |
(949) 465-8159 |
Full Name | Saddleback Medical Group Inc |
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Speciality | Internal Medicine |
Location | 24221 Calle De La Louisa, Laguna Hills, California |
Authorized Official Name and Position | James M Trenbeath (MEDICAL DOCTOR) |
Authorized Official Contact | 9494658155 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Saddleback Medical Group Inc 24221 Calle De La Louisa Suite 400 Laguna Hills CA 92653-7638 Ph: (949) 465-8155 | Saddleback Medical Group Inc 24221 Calle De La Louisa Suite 400 Laguna Hills CA 92653-7638 Ph: (949) 465-8155 |
NPI Number | 1386605822 |
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Provider Enumeration Date | 03/31/2006 |
Last Update Date | 09/29/2011 |
Medicare PECOS PAC ID | 5092606905 |
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Medicare Enrollment ID | O20040322000770 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386605822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Alan F White |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1548229701 PECOS PAC ID: 3779564323 Enrollment ID: I20040528000335 |
Provider Name | Maziar Zamani |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518056027 PECOS PAC ID: 8022089036 Enrollment ID: I20040803001642 |
Provider Name | Tracy A Siegfried |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366598591 PECOS PAC ID: 1254308380 Enrollment ID: I20040916000701 |
Provider Name | Bruce H Van Vranken |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093742173 PECOS PAC ID: 6002884509 Enrollment ID: I20040923000641 |
Provider Name | Nathaniel D Ho |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1497792147 PECOS PAC ID: 1850351362 Enrollment ID: I20041018001193 |
Provider Name | David G Huseby |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164552717 PECOS PAC ID: 2163489451 Enrollment ID: I20041218000076 |
Provider Name | Annamari C Cabrera |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1881653434 PECOS PAC ID: 5092763250 Enrollment ID: I20050105000355 |
Provider Name | Paul A Strodtbeck |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699805275 PECOS PAC ID: 2062479363 Enrollment ID: I20050110001227 |
Provider Name | Louis S Scarcella |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821052598 PECOS PAC ID: 2860445343 Enrollment ID: I20050224000355 |
Provider Name | Curtis W Siu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386613081 PECOS PAC ID: 4981657475 Enrollment ID: I20050224000422 |
Provider Name | Kenneth S Alpern |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1205830890 PECOS PAC ID: 5991742223 Enrollment ID: I20050408000444 |
Provider Name | Lawrence T Tran |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467461061 PECOS PAC ID: 3577507078 Enrollment ID: I20050615000740 |
Provider Name | Mark P Foster |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548338908 PECOS PAC ID: 6507893849 Enrollment ID: I20050719000734 |
Provider Name | Cecilia H Tran |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578523031 PECOS PAC ID: 0143257840 Enrollment ID: I20050725000807 |
Provider Name | Alireza Tafazzoli |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1659486660 PECOS PAC ID: 0840219259 Enrollment ID: I20051115000854 |
Provider Name | Cuong P Ly |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1306883053 PECOS PAC ID: 9739100421 Enrollment ID: I20051208001001 |
Provider Name | Kevin H Ashby |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1245209907 PECOS PAC ID: 0446228449 Enrollment ID: I20060329000634 |
Provider Name | James M Trenbeath |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1245209089 PECOS PAC ID: 3375511363 Enrollment ID: I20060329000650 |
Provider Name | John Michael Sims |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093749681 PECOS PAC ID: 8628087954 Enrollment ID: I20060414000146 |
Provider Name | Christopher T Vanley |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1043318512 PECOS PAC ID: 8729178777 Enrollment ID: I20071214000422 |
Provider Name | Barry S Donner |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1679534796 PECOS PAC ID: 4082682083 Enrollment ID: I20080423000417 |
Provider Name | Benjamin M Weinberg |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1598826612 PECOS PAC ID: 7214008184 Enrollment ID: I20080619000787 |
Provider Name | Seth Cohen |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1215108006 PECOS PAC ID: 6608936836 Enrollment ID: I20081118000745 |
Provider Name | Hai X Le |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083804801 PECOS PAC ID: 5890847396 Enrollment ID: I20090714000639 |
Provider Name | Daniel K Mckenzie |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1841259066 PECOS PAC ID: 0941204366 Enrollment ID: I20091216000105 |
Provider Name | Mahyar Sadeghi-tari |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275770885 PECOS PAC ID: 6305986464 Enrollment ID: I20091221000624 |
Provider Name | Arthur J Daigneault |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609845361 PECOS PAC ID: 3971571977 Enrollment ID: I20091222000634 |
Provider Name | Brian L Henry |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629047824 PECOS PAC ID: 7618945619 Enrollment ID: I20091231000236 |
Provider Name | Raymond C Fernandez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629039532 PECOS PAC ID: 9032113451 Enrollment ID: I20100105000153 |
Provider Name | Mark D Shields |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366411555 PECOS PAC ID: 8820066814 Enrollment ID: I20100105000241 |
Provider Name | Kimvir S Dhillon |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1083673248 PECOS PAC ID: 6305840729 Enrollment ID: I20100119000619 |
Provider Name | Lynn C Granlund |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902936552 PECOS PAC ID: 8426015728 Enrollment ID: I20101019000379 |
Provider Name | Daniel G Sterns |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083744643 PECOS PAC ID: 1153388459 Enrollment ID: I20101019000473 |
Provider Name | Chi-whei Lin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114057254 PECOS PAC ID: 5799742094 Enrollment ID: I20101019000675 |
Provider Name | Brian A Leish |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417087073 PECOS PAC ID: 9335106632 Enrollment ID: I20101019000806 |
Provider Name | David N Rios |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083797435 PECOS PAC ID: 4183812092 Enrollment ID: I20101220000433 |
Provider Name | Oscar H Otanez |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1225226590 PECOS PAC ID: 3577734672 Enrollment ID: I20110921000681 |
Provider Name | Catherine B Ngo |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1558531129 PECOS PAC ID: 0446406268 Enrollment ID: I20120810000386 |
Provider Name | Farah H Mahmood |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1134385974 PECOS PAC ID: 1153469820 Enrollment ID: I20121003000570 |
Provider Name | Justin D Harris |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063617934 PECOS PAC ID: 0042404337 Enrollment ID: I20131001000632 |
Provider Name | Aparna Das |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1811181332 PECOS PAC ID: 5698909034 Enrollment ID: I20131017001940 |
Provider Name | Preet Bagi |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1245432145 PECOS PAC ID: 1254584006 Enrollment ID: I20140113000593 |
Provider Name | Bahij G Ghazal |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912180233 PECOS PAC ID: 3678698974 Enrollment ID: I20140714002087 |
Provider Name | Nairi A Berner |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1104093277 PECOS PAC ID: 8022163625 Enrollment ID: I20141113002263 |
Provider Name | Ketan K Shah |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1629244652 PECOS PAC ID: 3274847272 Enrollment ID: I20150804006312 |
Provider Name | Ronnie A Alas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306267026 PECOS PAC ID: 5597067421 Enrollment ID: I20160108000564 |
Provider Name | Karen E Forhane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568835411 PECOS PAC ID: 9830493808 Enrollment ID: I20160211001593 |
Provider Name | Jason A Chou |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083051700 PECOS PAC ID: 1557673266 Enrollment ID: I20160919001955 |
Provider Name | Farid Jalali |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1710244462 PECOS PAC ID: 7416265434 Enrollment ID: I20180731000529 |
Provider Name | Jeffrey Chwa |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1285989236 PECOS PAC ID: 7214240639 Enrollment ID: I20181013000076 |
Provider Name | Courtney E Galle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811470925 PECOS PAC ID: 0941546188 Enrollment ID: I20190109002363 |
Provider Name | Nick T Nguyen |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1992977649 PECOS PAC ID: 3072841832 Enrollment ID: I20190819001791 |
Provider Name | Shellie D Graves |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043869738 PECOS PAC ID: 2365876869 Enrollment ID: I20191216001251 |
Provider Name | Kayvon Dowlatshahi |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1891176954 PECOS PAC ID: 1254640337 Enrollment ID: I20200417002711 |
Provider Name | Nickhat Ahmed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669004578 PECOS PAC ID: 9638585011 Enrollment ID: I20210309003226 |
Provider Name | Lerrena D Rosales |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932731841 PECOS PAC ID: 9638585854 Enrollment ID: I20210311002925 |
Provider Name | Sohrab Rahimi Naini |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1831352095 PECOS PAC ID: 4082760095 Enrollment ID: I20210510001267 |
Provider Name | Golshan Fahimi |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1376066548 PECOS PAC ID: 2668719261 Enrollment ID: I20220907003112 |
Provider Name | Omeed Ahadiat |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1497250955 PECOS PAC ID: 5890171003 Enrollment ID: I20221022000104 |
Provider Name | Yung Jen Kuo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750838249 PECOS PAC ID: 2769852888 Enrollment ID: I20230106001536 |
Provider Name | Gulzar Fidai |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1851398218 PECOS PAC ID: 9133028749 Enrollment ID: I20230222000591 |
Provider Name | Sean Xiang Chen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336777838 PECOS PAC ID: 1951795996 Enrollment ID: I20231110002489 |
Provider Name | Anita Shant Sahagian |
---|---|
Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1225693641 PECOS PAC ID: 9032556006 Enrollment ID: I20240326002517 |
Provider Name | Linda Md Brown |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1982632501 PECOS PAC ID: 4284067562 Enrollment ID: I20240508002496 |
Provider Name | Alcides Antonio De Oliveira |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760626675 PECOS PAC ID: 1557703535 Enrollment ID: I20240522001265 |
Provider Name | Vivian Ngo |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1063041267 PECOS PAC ID: 0345782363 Enrollment ID: I20240605004225 |
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