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PERFORMANCE HEALTH MEDICAL GROUP, INC
NPI 1093896862
Family Medicine in Laguna Hills, CA

Active since October 18, 2006CLIA 05D1107446 · Waiver
25431 CABOT RD, SUITE 118, LAGUNA HILLS, CA 92653(949) 362-8877(949) 598-8042 Get Directions Write a Review

NPPES record last updated: March 25, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1093896862
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePERFORMANCE HEALTH MEDICAL GROUP, INC
Location Address25431 CABOT RD, SUITE 118Laguna Hills, CA 92653-5518
Mailing Address25431 Cabot Rd, Suite 118Laguna Hills, CA 92653-5518 · (949) 362-8877 · Fax (949) 598-8042
Phone(949) 362-8877
Fax(949) 598-8042
Organization SubpartNo
Authorized OfficialBrian D CarricoPresident · (949) 362-8877
Enumeration DateOctober 18, 2006
Last NPPES UpdateMarch 25, 2009
✔ NPI 1093896862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
25431 CABOT RD, Laguna Hills, CA 92653
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Other Identifiers 2

Medicare PINW18805CCA
Other120115601CA · Group

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 of Waiver 05D1107446

Performance Health Medical Group Inc · Laguna Hills, CA
Active · expires Nov 4, 2027
CLIA Number05D1107446
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorHosea Brown III
Laboratory Phone(949) 362-8877
Laboratory LocationPerformance Health Medical Group Inc25431 Cabot Rd Suite 118, Laguna Hills, CA 92653
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

ALTERNATIVE & COMPLEMENTARY MEDICINE, INC.
Clinical Medical Laboratory
25431 CABOT RD, SUITE 202A
LAGUNA HILLS, CA 92653
Orange County (949) 206-9061
JOANNE G PAGAL DO INC.
Family Medicine
25431 CABOT RD, SUITE 115
LAGUNA HILLS, CA 92653
Orange County (949) 448-9728
DR. AMIR SHAHAB MOHSENI D.D.S.
Dentist (Endodontics)
25431 CABOT RD, #205
LAGUNA HILLS, CA 92653
Orange County (949) 597-0020
MISS ASHLEE DENARO P.T.
Specialist
25431 CABOT RD, SUITE 118
LAGUNA HILLS, CA 92653
Orange County (949) 362-8877
DR. HAIG MUSURLIAN
Psychologist (Clinical)
25431 CABOT RD, STE. 111
LAGUNA HILLS, CA 92653
Orange County (949) 457-9571
MR. EDWARD JOHN REYNOLDS DC
Chiropractor
25431 CABOT RD, #110
LAGUNA HILLS, CA 92653
Orange County (949) 716-1900
DR. JOHN BRUCE DORSEY MD
Orthopaedic Surgery
25431 CABOT RD, #110
LAGUNA HILLS, CA 92653
Orange County (949) 716-1900
PAUL JOHN LICATA MD
Clinic/Center (Primary Care)
25431 CABOT RD, STE 115
LAGUNA HILLS, CA 92653
Orange County (949) 448-9728

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, 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.

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.