PERFORMANCE HEALTH MEDICAL GROUP, INC
NPI 1093896862
Family Medicine in Laguna Hills, CA
About Performance Health Medical Group, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PERFORMANCE HEALTH MEDICAL GROUP, INC (NPI 1093896862) is a healthcare organization registered as a family medicine in Laguna Hills, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through November 4, 2027 and lists Brian D Carrico, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Performance Health Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Performance Health Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 of Waiver 05D1107446
Performance Health Medical Group Inc · Laguna Hills, CAFrequently 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, Inc's NPI number?
The NPI number for Performance Health Medical Group, Inc is 1093896862. It was assigned to this organization in the NPPES registry on October 18, 2006.
Where is Performance Health Medical Group, Inc located?
Performance Health Medical Group, Inc is located at 25431 Cabot Rd Suite 118, Laguna Hills, CA 92653. The listed phone number is (949) 362-8877.
What is Performance Health Medical Group, Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Performance Health Medical Group, Inc enrolled in Medicare?
Yes. Performance Health Medical Group, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Performance Health Medical Group, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Performance Health Medical Group, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Physical Therapist in Private Practice (2) and Chiropractic (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Performance Health Medical Group, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1107446) is associated with this NPI, valid through November 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Performance Health Medical Group, Inc was last updated on March 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Performance Health Medical Group, Inc · NPI 1093896862
Family Medicine organization in Laguna Hills, California. Organization record, active in the CMS NPPES registry since October 18, 2006.
## Identity
- **NPI:** 1093896862 (Entity type: Organization)
- **Enumerated:** October 18, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Brian Carrico, PRESIDENT
## Practice location
- **Address:** 25431 CABOT RD, SUITE 118, Laguna Hills, CA 92653-5518
- **Phone:** (949) 362-8877 · **Fax:** (949) 598-8042
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Physical Therapist in Private Practice (2), Chiropractic (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 25, 2009
- **Other identifiers:** Medicare PIN W18805C (CA); Other 120115601 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093896862) · Data from the CMS NPPES public registry.