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BETHEL MEDICAL GROUP, INC.
NPI 1518388917
Family Medicine in Garden Grove, CA

Active since January 02, 2014CLIA 05D2147855 · Waiver
9535 GARDEN GROVE BLVD, SUITE 102, GARDEN GROVE, CA 92844(714) 534-1112(714) 534-1116 Get Directions Write a Review

NPPES record last updated: January 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bethel Medical Group, Inc. NPPES

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

BETHEL MEDICAL GROUP, INC. (NPI 1518388917) is a healthcare organization registered as a family medicine in Garden Grove, California and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists John Stewart, President, as its authorized official.

NPPES Registry Identity

NPI1518388917
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBETHEL MEDICAL GROUP, INC.
Location Address9535 GARDEN GROVE BLVD, SUITE 102Garden Grove, CA 92844-1550
Mailing Address9535 Garden Grove Blvd, Suite 102Garden Grove, CA 92844-1550 · (714) 534-1112 · Fax (714) 534-1116
Phone(714) 534-1112
Fax(714) 534-1116
Organization SubpartNo
Authorized OfficialJohn StewartPresident · (714) 534-1112
Enumeration DateJanuary 2, 2014
✔ NPI 1518388917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A34173
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.
9535 GARDEN GROVE BLVD, Garden Grove, CA 92844
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Other Identifiers 1

OtherA34173CA · Medical Board Of California

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

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 05D2147855

Bethel Medical Group, Inc. · Garden Grove, CA
Active · expires Apr 26, 2028
CLIA Number05D2147855
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorJae Man Park, MD
Laboratory Phone(714) 534-1112
Laboratory LocationBethel Medical Group, Inc.9535 Garden Grove Blvd Ste 102, Garden Grove, CA 92844
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 10

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

REFORM24 MEDICAL GROUP INC
Family Medicine
9535 GARDEN GROVE BLVD, 102
GARDEN GROVE, CA 92844
Orange County (714) 534-1112
DR. KI HONG CHOE M.D.
Medical Genetics, Ph.D. Medical Genetics
9535 GARDEN GROVE BLVD, SUITE #103
GARDEN GROVE, CA 92844
Orange County (714) 892-2333
ORANGE COUNTY JOEUN MEDICAL GROUP INC
Family Medicine
9535 GARDEN GROVE BLVD, 104
GARDEN GROVE, CA 92844
Orange County (714) 534-1112
MOHAMMAD ABUL-FIELAT DDS INC
Dentist (Pediatric Dentistry)
9535 GARDEN GROVE BLVD, STE #201
GARDEN GROVE, CA 92844
Orange County (714) 534-4644
ACE PHYSICAL THERAPY & REHAB, INC.
Physical Therapist
9535 GARDEN GROVE BLVD, 104
GARDEN GROVE, CA 92844
Orange County (714) 590-0100
YONG H LEE D.O
Family Medicine
9535 GARDEN GROVE BLVD, 104
GARDEN GROVE, CA 92844
Orange County (562) 396-5126
RUSO
Dentist
9535 GARDEN GROVE BLVD
GARDEN GROVE, CA 92844
Orange County (714) 855-1138
DENTAL GROUP OF ORANGE COUNTY
Dentist (Dental Public Health)
9535 GARDEN GROVE BLVD, SUITE 201
GARDEN GROVE, CA 92844
Orange County (714) 855-1138

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 Bethel Medical Group, Inc.'s NPI number?

The NPI number for Bethel Medical Group, Inc. is 1518388917. It was assigned to this organization in the NPPES registry on January 2, 2014.

Where is Bethel Medical Group, Inc. located?

Bethel Medical Group, Inc. is located at 9535 Garden Grove Blvd Suite 102, Garden Grove, CA 92844. The listed phone number is (714) 534-1112.

What is Bethel Medical Group, Inc.'s specialty?

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

Does Bethel Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2147855) is associated with this NPI, valid through April 26, 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 Bethel Medical Group, Inc. was last updated on January 2, 2014. 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.