WEST COAST PRIMARY CARE MEDICAL GROUP
NPI 1356536452
Internal Medicine in Garden Grove, CA

Active since September 11, 2007
12665 GARDEN GROVE BLVD, SUITE 301, GARDEN GROVE, CA 92843(714) 530-7373(714) 530-7940 Get Directions Write a Review

NPPES record last updated: September 14, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About West Coast Primary Care Medical Group NPPES

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

WEST COAST PRIMARY CARE MEDICAL GROUP (NPI 1356536452) is a healthcare organization registered as an internal medicine in Garden Grove, California and active in the NPI registry since September 2007. The organization lists Douglas G Clark, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1356536452
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWEST COAST PRIMARY CARE MEDICAL GROUP
Location Address12665 GARDEN GROVE BLVD, SUITE 301Garden Grove, CA 92843-1901
Mailing Address12665 Garden Grove Blvd, Suite 301Garden Grove, CA 92843-1901 · (714) 530-7373 · Fax (714) 530-7940
Fax(714) 530-7940
Organization SubpartNo
Authorized OfficialDouglas G ClarkOwner/president · (714) 530-7373
Enumeration DateSeptember 11, 2007
Last NPPES UpdateSeptember 14, 2007
NPI 1356536452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
12665 GARDEN GROVE BLVD, Garden Grove, CA 92843

Other Identifiers 1

Medicare PINW16164CA

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

Other Providers at the Same Location NPPES 20

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

Physical Therapist
12665 GARDEN GROVE BLVD, SUITE 707
GARDEN GROVE, CA 92843
Pediatrics
12665 GARDEN GROVE BLVD, #604
GARDEN GROVE, CA 92843
Dentist
12665 GARDEN GROVE BLVD, 102
GARDEN GROVE, CA 92843
Pharmacist
12665 GARDEN GROVE BLVD, #108
GARDEN GROVE, CA 92843
Clinic/Center (Medical Specialty)
12665 GARDEN GROVE BLVD, SUITE 611
GARDEN GROVE, CA 92843
Pediatrics
12665 GARDEN GROVE BLVD, SUITE 713
GARDEN GROVE, CA 92843
Clinical Medical Laboratory
12665 GARDEN GROVE BLVD, 203
GARDEN GROVE, CA 92843
Pediatrics
12665 GARDEN GROVE BLVD, SUITE 300
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 West Coast Primary Care Medical Group's NPI number?

The NPI number for West Coast Primary Care Medical Group is 1356536452. It was assigned to this organization in the NPPES registry on September 11, 2007.

Where is West Coast Primary Care Medical Group located?

West Coast Primary Care Medical Group is located at 12665 Garden Grove Blvd Suite 301, Garden Grove, CA 92843. The listed phone number is (714) 530-7373.

What is West Coast Primary Care Medical Group's specialty?

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

When was this NPI record last updated?

The NPPES record for West Coast Primary Care Medical Group was last updated on September 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.