Performance Health Medical Group, Inc - Medicare in Laguna Hills, CA

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Performance Health Medical Group, Inc is a medicare enrolled "Family Medicine" provider in Laguna Hills, California. Their current practice location is 25431 Cabot Rd, Suite 118, Laguna Hills, California. You can reach out to their office (for appointments etc.) via phone at (949) 362-8877.

Performance Health Medical Group, Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Performance Health Medical Group, Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1093896862.

Contact Information

Performance Health Medical Group, Inc
25431 Cabot Rd, Suite 118,
Laguna Hills, CA 92653-5518
(949) 362-8877
(949) 598-8042

Map and Direction




Healthcare Provider's Profile

Full NamePerformance Health Medical Group, Inc
TypeFacility
SpecialityFamily Medicine
Location25431 Cabot Rd, Laguna Hills, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093896862
  • Provider Enumeration Date: 10/18/2006
  • Last Update Date: 03/25/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 4981646676
  • Enrollment ID: O20050523001335

Medical Identifiers

Medical identifiers for Performance Health Medical Group, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093896862NPI-NPPES
120115601OtherCAGROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111NR0400XChiropractor - Rehabilitation (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Secondary
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Performance Health Medical Group, Inc acts as a billing entity for following providers:
Provider NameKimberly Kirton Fuselier
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063483899
PECOS PAC ID: 6608882022
Enrollment ID: I20060222000660
Provider NameFd B Branham
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114902392
PECOS PAC ID: 3375551757
Enrollment ID: I20060327000367
Provider NameMesfin Seyoum
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780807008
PECOS PAC ID: 3779898283
Enrollment ID: I20150812008983
Provider NameCarol Peckham Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235324062
PECOS PAC ID: 5991747552
Enrollment ID: I20180712003526
Provider NameAmanda Marie Staley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740826601
PECOS PAC ID: 3779919758
Enrollment ID: I20200211001682
Provider NameCamtu Tonnu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811503675
PECOS PAC ID: 4789004672
Enrollment ID: I20201014002672
Provider NameDaniel Parker
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1700461761
PECOS PAC ID: 5890935480
Enrollment ID: I20210803002330
Provider NameHaleh Dejam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275107310
PECOS PAC ID: 8325426661
Enrollment ID: I20220527001664
Provider NameStephanie Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316654098
PECOS PAC ID: 5395183230
Enrollment ID: I20240410003293
Provider NameLucia Clara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225700891
PECOS PAC ID: 4981044658
Enrollment ID: I20240429000489
Provider NameDavid Nah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477847127
PECOS PAC ID: 1951742816
Enrollment ID: I20240509003729

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Performance Health Medical Group, Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Performance Health Medical Group, Inc
25431 Cabot Rd, Suite 118,
Laguna Hills, CA 92653-5518

Ph: (949) 362-8877		Performance Health Medical Group, Inc
25431 Cabot Rd, Suite 118,
Laguna Hills, CA 92653-5518

Ph: (949) 362-8877

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.