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SHADY CANYON MEDICAL GROUP
NPI 1922245349
Family Medicine in Irvine, CA

Active since January 08, 2009
15825 LAGUNA CANYON RD STE 104, IRVINE, CA 92618(949) 585-9870(949) 585-9331 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shady Canyon Medical Group NPPES

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

SHADY CANYON MEDICAL GROUP (NPI 1922245349) is a healthcare organization registered as a family medicine in Irvine, California and active in the NPI registry since January 2009. The organization lists Albert Beomjin Chang, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1922245349
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHADY CANYON MEDICAL GROUP
Location Address15825 LAGUNA CANYON RD STE 104Irvine, CA 92618-2126
Mailing Address15825 Laguna Canyon Rd Ste 104Irvine, CA 92618-2126 · (949) 585-9870 · Fax (949) 585-9331
Phone(949) 585-9870
Fax(949) 585-9331
Organization SubpartNo
Authorized OfficialAlbert Beomjin ChangMd/owner · (949) 585-9870
Enumeration DateJanuary 8, 2009
Last NPPES UpdateDecember 18, 2025
NPPES CertifiedDecember 18, 2025
✔ NPI 1922245349 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 · A77997
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.
15825 LAGUNA CANYON RD STE 104, Irvine, CA 92618
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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

Other Providers at the Same Location NPPES 2

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

ALICE KWON-SONG NP
Nurse Practitioner
15825 LAGUNA CANYON RD STE 104
IRVINE, CA 92618
Orange County (949) 585-9870
CHRISTINE NGUYEN FNP-C
Nurse Practitioner (Family)
15825 LAGUNA CANYON RD STE 104
IRVINE, CA 92618
Orange County (949) 585-9870

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 Shady Canyon Medical Group's NPI number?

The NPI number for Shady Canyon Medical Group is 1922245349. It was assigned to this organization in the NPPES registry on January 8, 2009.

Where is Shady Canyon Medical Group located?

Shady Canyon Medical Group is located at 15825 Laguna Canyon Rd Ste 104, Irvine, CA 92618. The listed phone number is (949) 585-9870.

What is Shady Canyon Medical Group's specialty?

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

When was this NPI record last updated?

The NPPES record for Shady Canyon Medical Group was last updated on December 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.