EDWARD MEDICAL GROUP, INC
NPI 1275627986
Family Medicine in Garden Grove, CA

Active since October 03, 2006CLIA 05D1052087 · Waiver
12828 HARBOR BLVD, SUITE 230, GARDEN GROVE, CA 92840(714) 741-4900(714) 741-4910 Get Directions Write a Review

NPPES record last updated: January 3, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Edward Medical Group, Inc NPPES

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

EDWARD MEDICAL GROUP, INC (NPI 1275627986) is a healthcare organization registered as a family medicine in Garden Grove, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 15, 2028 and lists Eddie C Pyune, President, as its authorized official.

NPPES Registry Identity

NPI1275627986
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEDWARD MEDICAL GROUP, INC
Location Address12828 HARBOR BLVD, SUITE 230Garden Grove, CA 92840-5831
Mailing AddressPo Box 249Garden Grove, CA 92842-0249 · (714) 741-4900 · Fax (714) 741-4910
Fax(714) 741-4910
Organization SubpartNo
Authorized OfficialEddie C PyunePresident · (714) 741-4900
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 3, 2014
✔ NPI 1275627986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A44458
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.
12828 HARBOR BLVD, Garden Grove, CA 92840

Other Identifiers 2

MedicaidGR0054262CA
Medicare PINW11614CA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Edward Medical Group, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1457445124
12828 HARBOR BLVD SUITE 230
Garden Grove, CA 92840
(714) 741-4900
✔ PECOSSame address

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 05D1052087

Edward Medical Group Inc · Garden Grove, CA
Active · expires Mar 15, 2028
CLIA Number05D1052087
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorEdward C. Pyune
Laboratory Phone(714) 741-4900
Laboratory LocationEdward Medical Group Inc12828 Harbor Blvd 230, Garden Grove, CA 92840
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Edward Medical Group, Inc's NPI number?

The NPI number for Edward Medical Group, Inc is 1275627986. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Edward Medical Group, Inc located?

Edward Medical Group, Inc is located at 12828 Harbor Blvd Suite 230, Garden Grove, CA 92840. The listed phone number is (714) 741-4900.

What is Edward Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Edward Medical Group, Inc enrolled in Medicare?

Yes. Edward Medical Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Edward Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Edward 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Edward Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1052087) is associated with this NPI, valid through March 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Edward Medical Group, Inc was last updated on January 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.