PACIFIC BREAST CARE MEDICAL GROUP, INC. – NPI #1194936922
Radiology

A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

PACIFIC BREAST CARE MEDICAL GROUP, INC. is a radiologist located in COSTA MESA, CA. NPPES has assigned the NPI number 1194936922 to PACIFIC BREAST CARE MEDICAL GROUP, INC. on May 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085U0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Ultrasound

The NPI profile was previously updated about 16 years ago on Nov 10, 2010. 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 PACIFIC BREAST CARE MEDICAL GROUP, INC. below.

NPI Profile for
PACIFIC BREAST CARE MEDICAL GROUP, INC.

NPI Number
1194936922
Enumeration Date

(more than 19 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
PACIFIC BREAST CARE MEDICAL GROUP, INC.
Primary location
1640 NEWPORT BLVD STE 200
COSTA MESA, CA 92627-3786
Phone: (949) 515-3544 Fax: (949) 706-6356
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALICE POLICE
PRESIDENT
Phone: (949) 515-3544
Updated
Identifiers

Identifiers for PACIFIC BREAST CARE MEDICAL GROUP, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERARTICLES OF INCORPORATIONCA2944453
OTHERMEDICAL LICENSE FIC NAMECAFNP35928
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
2085U0001X
- Radiology / Diagnostic Ultrasound (Primary)
207RM1200X
- Internal Medicine / Magnetic Resonance Imaging (MRI)

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.