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BRISTOL MCFADDEN MEDICAL GROUP,INC.
NPI 1003902610
Pediatrics in Santa Ana, CA

Active since October 04, 2006CLIA 05D0580986 · Microscopy
1212 S BRISTOL ST, SUITE 16, SANTA ANA, CA 92704(714) 966-0646(714) 966-2438 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bristol Mcfadden Medical Group,inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRISTOL MCFADDEN MEDICAL GROUP,INC. (NPI 1003902610) is a healthcare organization registered as a pediatrics in Santa Ana, California and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Kasin Ekmaha Chai, President, as its authorized official.

NPPES Registry Identity

NPI1003902610
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBRISTOL MCFADDEN MEDICAL GROUP,INC.
Location Address1212 S BRISTOL ST, SUITE 16Santa Ana, CA 92704-3476
Mailing Address1212 S Bristol St, Suite 16Santa Ana, CA 92704-3476 · (714) 966-0646 · Fax (714) 966-2438
Phone(714) 966-0646
Fax(714) 966-2438
Organization SubpartNo
Authorized OfficialKasin Ekmaha ChaiPresident · (714) 966-0646
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 23, 2013
✔ NPI 1003902610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedGeneral PracticeTaxonomy 208D00000X
1212 S BRISTOL ST, Santa Ana, CA 92704
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedW2394CA
MedicaidGR0009850CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0580986

Bristol Mcfadden Medical Group Inc · Santa Ana, CA
Active · expires Aug 31, 2026
CLIA Number05D0580986
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Edward Chai
Laboratory Phone(714) 966-0646
Laboratory LocationBristol Mcfadden Medical Group Inc1212 S Bristol St, Ste 16, Santa Ana, CA 92704
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KASIN EKMAHA CHAI M.D.
Pediatrics
1212 S BRISTOL ST, SUITE 16
SANTA ANA, CA 92704
Orange County (714) 966-0646
DR. ORANEE EKMAHA CHAI M.D.
Pediatrics
1212 S BRISTOL ST, SUITE 16
SANTA ANA, CA 92704
Orange County (714) 966-0646
DR. RAKESH N PATEL D.D.S.
Dentist (General Practice)
1212 S BRISTOL ST, 17 C
SANTA ANA, CA 92704
Orange County (714) 850-1211
DR. RAJIV NATHUBHAI DESAI D.D.S.
Dentist (General Practice)
1212 S BRISTOL ST, #17C
SANTA ANA, CA 92704
Orange County (714) 850-1211
BELINDA SUN
Physician Assistant (Medical)
1212 S BRISTOL ST
SANTA ANA, CA 92704
Orange County (714) 966-0646
EDWARD E CHAI M.D.
Pediatrics
1212 S BRISTOL ST, SUITE 16
SANTA ANA, CA 92704
Orange County (714) 966-0646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bristol Mcfadden Medical Group,inc.'s NPI number?

The NPI number for Bristol Mcfadden Medical Group,inc. is 1003902610. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Bristol Mcfadden Medical Group,inc. located?

Bristol Mcfadden Medical Group,inc. is located at 1212 S Bristol St Suite 16, Santa Ana, CA 92704. The listed phone number is (714) 966-0646.

What is Bristol Mcfadden Medical Group,inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Bristol Mcfadden Medical Group,inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0580986) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bristol Mcfadden Medical Group,inc. was last updated on July 23, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.