CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION
NPI 1386935716
Non-Pharmacy Dispensing Site in Santa Ana, CA

Active since April 19, 2011
1206 E 17TH ST, STE 106, SANTA ANA, CA 92701(714) 210-8848 Get Directions Write a Review

NPPES record last updated: October 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Champion Medical Group, A Medical Corporation NPPES

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

CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION (NPI 1386935716) is a healthcare organization registered as a non-pharmacy dispensing site in Santa Ana, California and active in the NPI registry since April 2011. The organization lists Herbert Marshak, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1386935716
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameCHAMPION MEDICAL GROUP, A MEDICAL CORPORATION
Location Address1206 E 17TH ST, STE 106Santa Ana, CA 92701-2641
Mailing Address2980 N Beverly Glen Cir, Ste 100Los Angeles, CA 90077-1726 · (310) 474-9809 · Fax (888) 431-8819
Organization SubpartYes
Authorized OfficialHerbert MarshakMedical Director · (714) 210-8848
Enumeration DateApril 19, 2011
Last NPPES UpdateOctober 5, 2015
NPI 1386935716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
1206 E 17TH ST, Santa Ana, CA 92701

Other Providers at the Same Location NPPES 14

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

Social Worker
1206 E 17TH ST
SANTA ANA, CA 92701
Family Medicine
1206 E 17TH ST, STE 204
SANTA ANA, CA 92701
Non-Pharmacy Dispensing Site
1206 E 17TH ST, STE 106
SANTA ANA, CA 92701
Family Medicine
1206 E 17TH ST, STE 101
SANTA ANA, CA 92701
Social Worker (Clinical)
1206 E 17TH ST
SANTA ANA, CA 92701
Physician Assistant (Medical)
1206 E 17TH ST
SANTA ANA, CA 92701
Marriage & Family Therapist
1206 E 17TH ST
SANTA ANA, CA 92701
Non-Pharmacy Dispensing Site
1206 E 17TH ST, SUITE 204
SANTA ANA, CA 92701

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 Champion Medical Group, A Medical Corporation's NPI number?

The NPI number for Champion Medical Group, A Medical Corporation is 1386935716. It was assigned to this organization in the NPPES registry on April 19, 2011.

Where is Champion Medical Group, A Medical Corporation located?

Champion Medical Group, A Medical Corporation is located at 1206 E 17th St Ste 106, Santa Ana, CA 92701. The listed phone number is (714) 210-8848.

What is Champion Medical Group, A Medical Corporation's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Champion Medical Group, A Medical Corporation was last updated on October 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.