Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EDINGER MEDICAL GROUP, INC.
NPI 1316648488
Family Medicine in Fountain Valley, CA

Q: What is Edinger Medical Group, Inc.'s NPI number?

The NPI number for Edinger Medical Group, Inc. is 1316648488. It was assigned to this organization in the NPPES registry on March 15, 2023.

Q: What is Edinger Medical Group, Inc.'s specialty?

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

Active since March 15, 2023

9900 TALBERT AVE STE 301&302, FOUNTAIN VALLEY, CA 92708(714) 965-2543(714) 965-2593 Get Directions Write a Review

NPPES record last updated: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 30, 2026, Mar 15, 2023 (2 updates tracked since 2023).

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About Edinger Medical Group, Inc. NPPES

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

EDINGER MEDICAL GROUP, INC. (NPI 1316648488) is a healthcare organization registered as a family medicine in Fountain Valley, California and active in the NPI registry since March 2023. The organization maintains a secondary practice location in Huntington Beach and lists Debyluz Keeney, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1316648488

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameEDINGER MEDICAL GROUP, INC.

Location Address9900 TALBERT AVE STE 301&302Fountain Valley, CA 92708-5153

Mailing AddressPo Box 8039Fountain Valley, CA 92728-8039 · (714) 965-2500 · Fax (714) 965-2593

Phone(714) 965-2543

Fax(714) 965-2593

Organization SubpartNo

Authorized OfficialDebyluz KeeneyCredentialing Coordinator · (714) 965-2543

Enumeration DateMarch 15, 2023

Last NPPES UpdateOctober 30, 20262 updates tracked since enumeration

NPPES CertifiedOctober 30, 2026

✔ NPI 1316648488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

9900 TALBERT AVE STE 301&302, Fountain Valley, CA 92708

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Secondary Practice Location 1

Location 120981 Magnolia StHuntington Beach, CA 92646-6338 · Phone (714) 965-2500 · Fax (714) 965-2593

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Edinger 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 Edinger Medical Group, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Donna Dessau, FNP-C

Nurse Practitioner

NPI 1922499771

19361 BEACH BLVD
Huntington Beach, CA 92648

(714) 960-4500

✔ PECOS✔ Accepts Medicare2.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Edinger Medical Group, Inc.'s NPI number?

The NPI number for Edinger Medical Group, Inc. is 1316648488. It was assigned to this organization in the NPPES registry on March 15, 2023.

Where is Edinger Medical Group, Inc. located?

Edinger Medical Group, Inc. is located at 9900 Talbert Ave Ste 301&302, Fountain Valley, CA 92708. The listed phone number is (714) 965-2543.

What is Edinger Medical Group, Inc.'s specialty?

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

Is Edinger Medical Group, Inc. enrolled in Medicare?

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

How many clinicians bill Medicare through Edinger Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Edinger 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.

When was this NPI record last updated?

The NPPES record for Edinger Medical Group, Inc. was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.