Premier Medical Group of California
NPI 1629523014ActiveOrganization· Internal Medicine· Upland, CA
Internal Medicine in Upland, California, registered in NPPES in August 2016. The authorized official on file is Ythanh D. Nguyen, M.D., Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629523014 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 16, 2016 |
| Last updated in NPPES | Jun 24, 2021 |
| Certified by provider | Jun 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Internal Medicine | 207R00000X | 546306 | CA |
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | — | — |
| Preventive Medicine, Obesity Medicine | 2083B0002X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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