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BRISTOL PARK MEDICAL GROUP INC NPI 1386691004


NPI Information

NPI: 1386691004
Provider Name: BRISTOL PARK MEDICAL GROUP, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
250 E YALE LOOP
SUITE 200
IRVINE, CA
ZIP 92604
Phone: (949) 551-1090
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BRISTOL PARK MEDICAL GROUP, INC is a family medicine in Irvine, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BRISTOL PARK MEDICAL GROUP, INC NPI is 1386691004. The provider is registered as an organization entity type.

The provider's business location address is:

250 E YALE LOOP
SUITE 200
IRVINE, CA
ZIP 92604-697
Phone: (949) 551-1090
Fax: (949) 262-5500

The provider's authorized official is Mark D Schafer .
The authorized official title is Medical Director and has the following contact phone number (714) 665-1661.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 10/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2207R00000XInternal MedicineNo
3208000000XPediatricsNo
4207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W684BMEDICARE PINCALIFORNIA
21046350007MEDICARE NSCCALIFORNIA
3GR006919BMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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