PERFORMANCE HEALTH MEDICAL GROUP
NPI 1023511045
Non-Pharmacy Dispensing Site in Laguna Hills, CA

Active since March 15, 2018
25431 CABOT ROAD SUITE 118, LAGUNA HILLS, CA 92653(479) 636-9702(877) 427-2307 Get Directions Write a Review

NPPES record last updated: March 15, 2018. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Performance Health Medical Group NPPES

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

PERFORMANCE HEALTH MEDICAL GROUP (NPI 1023511045) is a healthcare organization registered as a non-pharmacy dispensing site in Laguna Hills, California and active in the NPI registry since March 2018. The organization lists Amanda Gonzalez, Ncpdp Coordinator, as its authorized official.

NPPES Registry Identity

NPI1023511045
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePERFORMANCE HEALTH MEDICAL GROUP
Location Address25431 CABOT ROAD SUITE 118Laguna Hills, CA 92653
Mailing AddressPo Box 3328Bentonville, AR 72712 · (479) 636-9702 · Fax (877) 427-2307
Fax(877) 427-2307
Organization SubpartNo
Authorized OfficialAmanda GonzalezNcpdp Coordinator · (479) 636-9702
Enumeration DateMarch 15, 2018
NPI 1023511045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in CA · G45164
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
25431 CABOT ROAD SUITE 118, Laguna Hills, CA 92653

Other Names 1

Doing Business AsPerformance Health Medical Group

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 Performance Health Medical Group's NPI number?

The NPI number for Performance Health Medical Group is 1023511045. It was assigned to this organization in the NPPES registry on March 15, 2018.

Where is Performance Health Medical Group located?

Performance Health Medical Group is located at 25431 Cabot Road Suite 118, Laguna Hills, CA 92653. The listed phone number is (479) 636-9702.

What is Performance Health Medical Group's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Performance Health Medical Group was last updated on March 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.