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BUENA PARK MEDICAL GROUP
NPI 1477625671
Family Medicine in Buena Park, CA

Active since November 14, 2006CLIA 05D0993856 · Waiver
6301 BEACH BLVD, SUITE 101, BUENA PARK, CA 90621(714) 994-5290(714) 994-8090 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Buena Park Medical Group NPPES

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

BUENA PARK MEDICAL GROUP (NPI 1477625671) is a healthcare organization registered as a family medicine in Buena Park, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through November 26, 2027 and lists Martin Taehung Ahn, President, as its authorized official.

NPPES Registry Identity

NPI1477625671
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBUENA PARK MEDICAL GROUP
Location Address6301 BEACH BLVD, SUITE 101Buena Park, CA 90621-2840
Mailing AddressPo Box 277Buena Park, CA 90621-0277 · (714) 994-5290 · Fax (714) 994-8090
Phone(714) 994-5290
Fax(714) 994-8090
Organization SubpartNo
Authorized OfficialMartin Taehung AhnPresident · (714) 994-5290
Enumeration DateNovember 14, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1477625671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · A061574✔ Licensed in CA · A85576
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 · License G53693 (CA), A63728 (CA)
6301 BEACH BLVD, Buena Park, CA 90621
Open in Google Maps ↗

Other Identifiers 5

Medicaid00A637280CA
MedicaidGR0099930CA
Medicaid00A855760CA
Medicaid00A615740CA
Medicaid00G536930CA

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 MULTIPLE 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 05D0993856

Buena Park Medical Group Inc · Buena Park, CA
Active · expires Nov 26, 2027
CLIA Number05D0993856
Laboratory TypePhysician Office
Certificate Effective DateNovember 27, 2025
Certificate Expiration DateNovember 26, 2027
Laboratory DirectorEdgardo M. Gonzales MD
Laboratory Phone(714) 994-5290
Laboratory LocationBuena Park Medical Group Inc6301 Beach Blvd, #101, Buena Park, CA 90621
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 16

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

MS. JUDITH ANN RESNICK R.N.
Registered Nurse (Case Management)
6301 BEACH BLVD, SUITE 216, OC HCA PHCN AREA 1
BUENA PARK, CA 90621
Orange County (714) 562-1772
ALLCARE FAMILY MEDICAL GROUP, INC
Family Medicine
6301 BEACH BLVD, SUITE 109
BUENA PARK, CA 90621
Orange County (714) 525-9900
LOMA CLINIC,INC
Acupuncturist
6301 BEACH BLVD, SUITE 111
BUENA PARK, CA 90621
Orange County (714) 521-5662
MS. JESSICA H PULIDO ASW
Social Worker (Clinical)
6301 BEACH BLVD, SUITE 245
BUENA PARK, CA 90621
Orange County (714) 736-0231
MS. SELENE TLAXCALA M.S.
Marriage & Family Therapist
6301 BEACH BLVD, #245
BUENA PARK, CA 90621
Orange County (714) 736-0231
MISSION HEART & VASCULAR CLINIC, INC.
Internal Medicine (Cardiovascular Disease)
6301 BEACH BLVD, SUITE 101
BUENA PARK, CA 90621
Orange County (714) 994-5290
EDGARDO GONZALEZ M.D
Internal Medicine
6301 BEACH BLVD, SUITE 101
BUENA PARK, CA 90621
Orange County (714) 994-5290
DR. KANG-HYUN CHOI ACUPUNCTURIST
Acupuncturist
6301 BEACH BLVD, SUITE 111
BUENA PARK, CA 90621
Orange County (714) 521-5662

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 Buena Park Medical Group's NPI number?

The NPI number for Buena Park Medical Group is 1477625671. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Buena Park Medical Group located?

Buena Park Medical Group is located at 6301 Beach Blvd Suite 101, Buena Park, CA 90621. The listed phone number is (714) 994-5290.

What is Buena Park Medical Group's specialty?

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

Does Buena Park Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0993856) is associated with this NPI, valid through November 26, 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 Buena Park Medical Group was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.