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CENTER FOR PRIMARY CARE MEDICAL GROUP INC
NPI 1467633362
Internal Medicine in Fountain Valley, CA

Active since November 19, 2007CLIA 05D0934119 · Microscopy
8700 WARNER AVE, SUITE 140, FOUNTAIN VALLEY, CA 92708(714) 847-6727(714) 847-6643 Get Directions Write a Review

NPPES record last updated: November 22, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Center For Primary Care Medical Group Inc NPPES

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

CENTER FOR PRIMARY CARE MEDICAL GROUP INC (NPI 1467633362) is a healthcare organization registered as an internal medicine in Fountain Valley, California and active in the NPI registry since November 2007. The organization holds a CLIA Microscopy certificate valid through April 3, 2028 and lists Robert Tae Ha, President, as its authorized official.

NPPES Registry Identity

NPI1467633362
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTER FOR PRIMARY CARE MEDICAL GROUP INC
Location Address8700 WARNER AVE, SUITE 140Fountain Valley, CA 92708-3207
Mailing Address8700 Warner Ave, Suite 140Fountain Valley, CA 92708-3207 · (714) 847-6727 · Fax (714) 847-6643
Phone(714) 847-6727
Fax(714) 847-6643
Organization SubpartNo
Authorized OfficialRobert Tae HaPresident · (714) 847-6727
Enumeration DateNovember 19, 2007
Last NPPES UpdateNovember 22, 2013
✔ NPI 1467633362 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 · A055299
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.
8700 WARNER AVE, Fountain Valley, CA 92708
Open in Google Maps ↗

Other Identifiers 3

Other00A552992CA · Blue Shield
Medicare PINCX989ACA
Medicare PINA55299CA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Center For Primary Care 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 Center For Primary Care Medical Group Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Ha, MD
Internal Medicine
NPI 1750302188
9896 GARDEN GROVE BLVD
Garden Grove, CA 92844
(714) 636-3032
✔ PECOS✔ Accepts Medicare4.1 mi

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

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0934119

Center For Primary Care Medical Group Inc · Fountain Valley, CA
Active · expires Apr 3, 2028
CLIA Number05D0934119
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorRobert T. Ha MD
Laboratory Phone(714) 847-6727
Laboratory LocationCenter For Primary Care Medical Group Inc18111 Brookhurst St, Ste 6300, Fountain Valley, CA 92708
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Center For Primary Care Medical Group Inc's NPI number?

The NPI number for Center For Primary Care Medical Group Inc is 1467633362. It was assigned to this organization in the NPPES registry on November 19, 2007.

Where is Center For Primary Care Medical Group Inc located?

Center For Primary Care Medical Group Inc is located at 8700 Warner Ave Suite 140, Fountain Valley, CA 92708. The listed phone number is (714) 847-6727.

What is Center For Primary Care Medical Group Inc's specialty?

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

Is Center For Primary Care Medical Group Inc enrolled in Medicare?

Yes. Center For Primary Care Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Center For Primary Care Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Center For Primary Care 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.

Does Center For Primary Care Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0934119) is associated with this NPI, valid through April 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Center For Primary Care Medical Group Inc was last updated on November 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.