OC GEROPSYCHIATRIC MEDICAL GROUP – NPI #1548003015
Psychiatry & Neurology

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.

OC GEROPSYCHIATRIC MEDICAL GROUP is a psychiatry & neurologist located in JURUPA VALLEY, CA. NPPES has assigned the NPI number 1548003015 to OC GEROPSYCHIATRIC MEDICAL GROUP on June 13, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084P0805X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Geriatric Psychiatry

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OC GEROPSYCHIATRIC MEDICAL GROUP below.

NPI Profile for
OC GEROPSYCHIATRIC MEDICAL GROUP

NPI Number
1548003015
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OC GEROPSYCHIATRIC MEDICAL GROUP
Primary location
6000 CAMINO REAL
SUITE B
JURUPA VALLEY, CA 92509
Phone: (714) 487-9724 Fax:
Mailing address
16478 BEACH BLVD
WESTMINSTER, CA 92683-7860
Phone: (714) 487-9724 Fax:
Organization Subpart
No
Authorized Official
THU PHAN
DIRECTOR, SECRETARY, AND TREASURER
Phone: (714) 487-9724
Updated
Certification Date
Jun 06, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0805X
- Psychiatry & Neurology / Geriatric Psychiatry (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.