Look up the most recent NPI and PECOS records

Care Direct Medical Group Inc

Family Medicine

Allopathic & Osteopathic Physicians

150 Paularino Ave Ste D182, Costa Mesa, CA 92626-3302

PECOS Enrollment

Based on the most recent information from CMS, provider Care Direct Medical Group Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1790366953
Provider Type
Organization
Full Name
Care Direct Medical Group Inc

Subpart
No
Enumeration Date
4/19/2021
Last Updated
4/19/2021

Contact Information

Practice Location

150 Paularino Ave Ste D182, Costa Mesa, CA 92626-3302

(949) 556-3433

Unlisted Fax

Mailing Location

150 Paularino Ave Ste D182, Costa Mesa, CA 92626-3302

(949) 556-3433

Unlisted Fax

Authorized Official

Abney, Jason (Owner)

(949) 353-5053

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer

Care Direct Medical Group Inc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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Description

License

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