GARDEN GROVE PRIMARY CARE MEDICINE, INC.
NPI 1326263633
Internal Medicine in Garden Grove, CA

Active since April 13, 2007CLIA 05D0982178 · Waiver
12555 GARDEN GROVE BLVD STE 301, GARDEN GROVE, CA 92843(714) 741-0501(714) 741-0095 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Garden Grove Primary Care Medicine, Inc. NPPES

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

GARDEN GROVE PRIMARY CARE MEDICINE, INC. (NPI 1326263633) is a healthcare organization registered as an internal medicine in Garden Grove, California and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through January 17, 2027 and lists Julie Hwynn, President, as its authorized official.

NPPES Registry Identity

NPI1326263633
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGARDEN GROVE PRIMARY CARE MEDICINE, INC.
Location Address12555 GARDEN GROVE BLVD STE 301Garden Grove, CA 92843-1903
Mailing Address12555 Garden Grove Blvd Ste 301Garden Grove, CA 92843-1903 · (714) 741-0501 · Fax (714) 741-0095
Fax(714) 741-0095
Organization SubpartNo
Authorized OfficialJulie HwynnPresident · (714) 741-0501
Enumeration DateApril 13, 2007
Last NPPES UpdateNovember 2, 2022
NPPES CertifiedNovember 2, 2022
NPI 1326263633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A66861
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12555 GARDEN GROVE BLVD STE 301, Garden Grove, CA 92843

Other Identifiers 1

Medicaid00A668610CA

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

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 05D0982178

Garden Grove Primary Care Medicine Inc · Garden Grove, CA
Active · expires Jan 17, 2027
CLIA Number05D0982178
Laboratory TypePhysician Office
Certificate Effective DateJanuary 18, 2025
Certificate Expiration DateJanuary 17, 2027
Laboratory DirectorJulie Hwynn MD
Laboratory Phone(714) 741-0501
Laboratory LocationGarden Grove Primary Care Medicine Inc12555 Garden Grove Blvd Ste 301, Garden Grove, CA 92843
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

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

Obstetrics & Gynecology
12555 GARDEN GROVE BLVD STE 301
GARDEN GROVE, CA 92843

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 Garden Grove Primary Care Medicine, Inc.'s NPI number?

The NPI number for Garden Grove Primary Care Medicine, Inc. is 1326263633. It was assigned to this organization in the NPPES registry on April 13, 2007.

Where is Garden Grove Primary Care Medicine, Inc. located?

Garden Grove Primary Care Medicine, Inc. is located at 12555 Garden Grove Blvd Ste 301, Garden Grove, CA 92843. The listed phone number is (714) 741-0501.

What is Garden Grove Primary Care Medicine, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Garden Grove Primary Care Medicine, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0982178) is associated with this NPI, valid through January 17, 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 Garden Grove Primary Care Medicine, Inc. was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.