OMNIBUS MEDICAL CORP
NPI 1922697861
Specialist in Garden Grove, CA
About Omnibus Medical Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OMNIBUS MEDICAL CORP (NPI 1922697861) is a healthcare organization registered as a specialist in Garden Grove, California and active in the NPI registry since January 2021. The organization lists Cody Hall, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Omnibus Medical Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Omnibus Medical Corp, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Omnibus Medical Corp's NPI number?
The NPI number for Omnibus Medical Corp is 1922697861. It was assigned to this organization in the NPPES registry on January 14, 2021.
Where is Omnibus Medical Corp located?
Omnibus Medical Corp is located at 12566 Valley View St, Garden Grove, CA 92845. The listed phone number is (704) 617-8535.
What is Omnibus Medical Corp's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Omnibus Medical Corp enrolled in Medicare?
Yes. Omnibus Medical Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Omnibus Medical Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Omnibus Medical Corp, in Critical Care (Intensivists), Emergency Medicine and Internal Medicine. 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.
When was this NPI record last updated?
The NPPES record for Omnibus Medical Corp was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Omnibus Medical Corp · NPI 1922697861
Specialist organization in Garden Grove, California. Organization record, active in the CMS NPPES registry since January 14, 2021.
## Identity
- **NPI:** 1922697861 (Entity type: Organization)
- **Enumerated:** January 14, 2021
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** Yes (part of Omnibus Medical Corp)
- **Authorized official:** Cody Hall, MANAGER
## Practice location
- **Address:** 12566 VALLEY VIEW ST, Garden Grove, CA 92845-1234
- **Phone:** (704) 617-8535
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (2), Internal Medicine (2), Critical Care (Intensivists) (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1922697861) · Data from the CMS NPPES public registry.