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PHANTOM MEDICAL INC
NPI 1790390052
Family Medicine in Orange, CA

Active since September 14, 2020CLIA 05D2230664 · Waiver
1240 E CHAPMAN AVE, ORANGE, CA 92866(714) 771-2800(714) 771-3200 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Phantom Medical Inc NPPES

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

PHANTOM MEDICAL INC (NPI 1790390052) is a healthcare organization registered as a family medicine in Orange, California and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through July 26, 2027 and lists Neal H. Patel, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1790390052
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHANTOM MEDICAL INC
Location Address1240 E CHAPMAN AVEOrange, CA 92866-2217
Mailing Address1240 E Chapman AveOrange, CA 92866-2217 · (714) 771-2800 · Fax (714) 771-3200
Phone(714) 771-2800
Fax(714) 771-3200
Organization SubpartNo
Authorized OfficialNeal H. PatelAuthorized Official · (714) 402-7731
Enumeration DateSeptember 14, 2020
Last NPPES UpdateFebruary 16, 2026
NPPES CertifiedFebruary 16, 2026
✔ NPI 1790390052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1240 E CHAPMAN AVE, Orange, CA 92866
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phantom Medical 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 Phantom Medical Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neal Patel, D.O.
Family Practice
NPI 1730543919
1240 E CHAPMAN AVE
Orange, CA 92866
(714) 771-2800
✔ PECOS✔ Accepts MedicareSame address

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 of Waiver 05D2230664

Phantom Medical, Inc · Orange, CA
Active · expires Jul 26, 2027
CLIA Number05D2230664
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2025
Certificate Expiration DateJuly 26, 2027
Laboratory DirectorNeal H. Patel
Laboratory Phone(714) 771-2800
Laboratory LocationPhantom Medical, Inc1240 E Chapman Ave Suite A, Orange, CA 92866
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Phantom Medical Inc's NPI number?

The NPI number for Phantom Medical Inc is 1790390052. It was assigned to this organization in the NPPES registry on September 14, 2020.

Where is Phantom Medical Inc located?

Phantom Medical Inc is located at 1240 E Chapman Ave, Orange, CA 92866. The listed phone number is (714) 771-2800.

What is Phantom Medical Inc's specialty?

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

Is Phantom Medical Inc enrolled in Medicare?

Yes. Phantom Medical Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phantom Medical Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Phantom Medical 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 Phantom Medical Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2230664) is associated with this NPI, valid through July 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 Phantom Medical Inc was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.