PATHWAY MEDICAL GROUP, INC
NPI 1407802069
Family Medicine in Garden Grove, CA

Active since May 25, 2006CLIA 05D0576925 · Waiver
12462 BROOKHURST ST, #A&B, GARDEN GROVE, CA 92840(714) 636-9850(714) 636-1248 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pathway Medical Group, Inc NPPES

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

PATHWAY MEDICAL GROUP, INC (NPI 1407802069) is a healthcare organization registered as a family medicine in Garden Grove, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Hassan M. Alkhouli, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1407802069
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePATHWAY MEDICAL GROUP, INC
Location Address12462 BROOKHURST ST, #A&BGarden Grove, CA 92840-4759
Mailing AddressPo Box 2989Seal Beach, CA 90740-1989 · (714) 636-9850 · Fax (714) 636-1248
Fax(714) 636-1248
Organization SubpartYes
Authorized OfficialHassan M. AlkhouliC.e.o. · (714) 379-3221
Enumeration DateMay 25, 2006
Last NPPES UpdateMay 6, 2008
NPI 1407802069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.

Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
12462 BROOKHURST ST, Garden Grove, CA 92840

Other Identifiers 4

MedicaidGR0100560CA
MedicaidGR0100561CA
Medicare PINW18076ACA
Medicare PINW18076BCA

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

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 05D0576925

Pathway Medical Group Inc · Garden Grove, CA
Active · expires Aug 31, 2026
CLIA Number05D0576925
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAsaad Hakim
Laboratory Phone(714) 636-9850
Laboratory LocationPathway Medical Group Inc12462 Brookhurst St Ste A&b, 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.

Other Providers at the Same Location NPPES 5

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

Internal Medicine
12462 BROOKHURST ST
GARDEN GROVE, CA 92840
Internal Medicine
12462 BROOKHURST ST
GARDEN GROVE, CA 92840
Family Medicine
12462 BROOKHURST ST, #A&B
GARDEN GROVE, CA 92840
Physician Assistant
12462 BROOKHURST ST, #A&B
GARDEN GROVE, CA 92840
Physician Assistant
12462 BROOKHURST ST, SUITE A&B
GARDEN GROVE, CA 92840

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 Pathway Medical Group, Inc's NPI number?

The NPI number for Pathway Medical Group, Inc is 1407802069. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is Pathway Medical Group, Inc located?

Pathway Medical Group, Inc is located at 12462 Brookhurst St #a&b, Garden Grove, CA 92840. The listed phone number is (714) 636-9850.

What is Pathway Medical Group, Inc's specialty?

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

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

Yes. A Certificate of Waiver (number 05D0576925) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pathway Medical Group, Inc was last updated on May 6, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.