PROFESSIONAL ADVANTAGE MEDICAL GROUP
NPI 1639540560
General Practice in Placentia, CA

Active since October 19, 2015
1041 E YORBA LINDA BLVD, SUITE 203, PLACENTIA, CA 92870(714) 985-9110(714) 985-9053 Get Directions Write a Review

NPPES record last updated: October 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Professional Advantage Medical Group NPPES

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

PROFESSIONAL ADVANTAGE MEDICAL GROUP (NPI 1639540560) is a healthcare organization registered as a general practice in Placentia, California and active in the NPI registry since October 2015. The organization lists John Gambol, C.e.o, as its authorized official.

NPPES Registry Identity

NPI1639540560
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePROFESSIONAL ADVANTAGE MEDICAL GROUP
Location Address1041 E YORBA LINDA BLVD, SUITE 203Placentia, CA 92870-3728
Mailing Address38713 Tierra Subida Ave, Suite 200-315Palmdale, CA 93551-4562 · (850) 233-2228 · Fax (714) 985-9053
Fax(714) 985-9053
Organization SubpartNo
Authorized OfficialJohn GambolC.e.o · (850) 233-2228
Enumeration DateOctober 19, 2015
Last NPPES UpdateOctober 30, 2015
NPI 1639540560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · G87090
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1041 E YORBA LINDA BLVD, Placentia, CA 92870

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

Other Providers at the Same Location NPPES 20

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

Specialist (Research Study)
1041 E YORBA LINDA BLVD, SUITE 210
PLACENTIA, CA 92870
Clinical Medical Laboratory
1041 E YORBA LINDA BLVD, SUITE 210
PLACENTIA, CA 92870
Family Medicine
1041 E YORBA LINDA BLVD, SUITE 306
PLACENTIA, CA 92870
Non-Pharmacy Dispensing Site
1041 E YORBA LINDA BLVD, 306
PLACENTIA, CA 92870
Internal Medicine
1041 E YORBA LINDA BLVD, STE 209
PLACENTIA, CA 92870
Pain Medicine (Pain Medicine)
1041 E YORBA LINDA BLVD, STE 210
PLACENTIA, CA 92870
Counselor (Mental Health)
1041 E YORBA LINDA BLVD
PLACENTIA, CA 92870
Durable Medical Equipment & Medical Supplies
1041 E YORBA LINDA BLVD, STE 210
PLACENTIA, CA 92870

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 Professional Advantage Medical Group's NPI number?

The NPI number for Professional Advantage Medical Group is 1639540560. It was assigned to this organization in the NPPES registry on October 19, 2015.

Where is Professional Advantage Medical Group located?

Professional Advantage Medical Group is located at 1041 E Yorba Linda Blvd Suite 203, Placentia, CA 92870. The listed phone number is (714) 985-9110.

What is Professional Advantage Medical Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Professional Advantage Medical Group was last updated on October 30, 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.