1. Home
  2. Directory
  3. California
  4. Playa Vista
  5. Surgery
  6. NPI Profile

PACIFIC MEDICAL GROUP
NPI 1104430669
Surgery in Playa Vista, CA

Active since September 02, 2020
5450 LINCOLN BLVD, PLAYA VISTA, CA 90094(310) 305-9200(310) 305-2800 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Medical Group NPPES

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

PACIFIC MEDICAL GROUP (NPI 1104430669) is a healthcare organization registered as a surgery in Playa Vista, California and active in the NPI registry since September 2020. The organization lists Samson Yirgu, Manager, as its authorized official.

NPPES Registry Identity

NPI1104430669
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePACIFIC MEDICAL GROUP
Location Address5450 LINCOLN BLVDPlaya Vista, CA 90094-2002
Mailing Address4712 Admiralty Way # 574Marina Del Rey, CA 90292-6905 · (310) 305-9200 · Fax (310) 305-2800
Phone(310) 305-9200
Fax(310) 305-2800
Organization SubpartNo
Authorized OfficialSamson YirguManager · (310) 305-9200
Enumeration DateSeptember 2, 2020
NPPES CertifiedSeptember 2, 2020
✔ NPI 1104430669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
5450 LINCOLN BLVD, Playa Vista, CA 90094
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 15

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

DR. MARINA NIKIFOROVA D.C.
Chiropractor
5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
Los Angeles County (310) 305-9200
ANTHONY SALVADOR
Nurse Practitioner (Family)
5450 LINCOLN BLVD
LOS ANGELES, CA 90094
Los Angeles County (310) 305-9200
NEUROLOGY & PAIN MANAGEMENT SPECIALISTS INC
Neurological Surgery
5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
Los Angeles County (310) 305-9200
SILICON BEACH MEDICAL CENTER INC
Clinic/Center (Urgent Care)
5450 LINCOLN BLVD
LOS ANGELES, CA 90094
Los Angeles County (310) 305-9200
LAX MEDICAL GROUP, INC
Orthopaedic Surgery
5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
Los Angeles County (310) 867-5556
SHIELA MARIE DOMINGO FNP-BC
Nurse Practitioner
5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
Los Angeles County (310) 305-9200
DR. CASPER GLENN M.D.
Personal Emergency Response Attendant
5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
Los Angeles County (310) 305-9200
PLAYA ADVANCE SURGICAL INSTITUTE LLC
Clinic/Center (Ambulatory Surgical)
5450 LINCOLN BLVD
LOS ANGELES, CA 90094
Los Angeles County (310) 600-5846

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 Pacific Medical Group's NPI number?

The NPI number for Pacific Medical Group is 1104430669. It was assigned to this organization in the NPPES registry on September 2, 2020.

Where is Pacific Medical Group located?

Pacific Medical Group is located at 5450 Lincoln Blvd, Playa Vista, CA 90094. The listed phone number is (310) 305-9200.

What is Pacific Medical Group's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Pacific Medical Group was last updated on September 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.