COLLEGE MEDICAL GROUP, INC.
NPI 1760532543
Clinic/Center in Santa Ana, CA

Active since January 12, 2007
611 S MAIN ST, SUITE A, SANTA ANA, CA 92701(714) 564-9323(714) 973-8885 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About College Medical Group, Inc. NPPES

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

COLLEGE MEDICAL GROUP, INC. (NPI 1760532543) is a healthcare organization registered as a clinic/center in Santa Ana, California and active in the NPI registry since January 2007. The organization lists Somsong Wattanasakul Tongbai, President, as its authorized official.

NPPES Registry Identity

NPI1760532543
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOLLEGE MEDICAL GROUP, INC.
Location Address611 S MAIN ST, SUITE ASanta Ana, CA 92701-5715
Mailing Address611 S Main St, Suite ASanta Ana, CA 92701-5715 · (714) 564-9323 · Fax (714) 973-8885
Fax(714) 973-8885
Organization SubpartNo
Authorized OfficialSomsong Wattanasakul TongbaiPresident · (714) 564-9323
Enumeration DateJanuary 12, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1760532543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in CA · A31437
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
611 S MAIN ST, Santa Ana, CA 92701

Other Identifiers 3

Other00A314370-151CA · Caloptima Provider Number
OtherGR0011541CA · Medi-cal Provider Number
OtherGR0011541CA · Chdp Provider Number

Other Providers at the Same Location NPPES

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

Clinic/Center
611 S MAIN ST, SUITE A
SANTA ANA, CA 92701

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 College Medical Group, Inc.'s NPI number?

The NPI number for College Medical Group, Inc. is 1760532543. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is College Medical Group, Inc. located?

College Medical Group, Inc. is located at 611 S Main St Suite A, Santa Ana, CA 92701. The listed phone number is (714) 564-9323.

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

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for College Medical Group, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.