Center for Primary Care Medical Group Inc
NPI 1467633362ActiveOrganization· Internal Medicine· Fountain Valley, CA
Internal Medicine in Fountain Valley, California, registered in NPPES in November 2007. The authorized official on file is Robert Tae Ha, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1467633362 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 19, 2007 |
| Last updated in NPPES | Nov 22, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | A055299 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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