PACIFIC CREST MEDICAL GROUP INC
NPI 1932131653
Specialist in Dana Point, CA

Active since July 06, 2006
34052 LA PLZ, SUITE 101, DANA POINT, CA 92629(949) 388-4316(949) 388-4319 Get Directions Write a Review

NPPES record last updated: February 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pacific Crest Medical Group Inc NPPES

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

PACIFIC CREST MEDICAL GROUP INC (NPI 1932131653) is a healthcare organization registered as a specialist in Dana Point, California and active in the NPI registry since July 2006. The organization lists Lesley Roberts, Controller, as its authorized official.

NPPES Registry Identity

NPI1932131653
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePACIFIC CREST MEDICAL GROUP INC
Location Address34052 LA PLZ, SUITE 101Dana Point, CA 92629-2587
Mailing AddressPo Box 3630Dana Point, CA 92629-8630 · (949) 388-4316 · Fax (949) 388-4319
Fax(949) 388-4319
Organization SubpartNo
Authorized OfficialLesley RobertsController · (949) 388-4316
Enumeration DateJuly 6, 2006
Last NPPES UpdateFebruary 6, 2012
NPI 1932131653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
34052 LA PLZ, Dana Point, CA 92629

Other Identifiers 5

Medicare PINW13226ACA
Medicare PINW13226BCA
Medicare PINW13226JCA
Medicare PINW13226CA
Medicare PINW13226LCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 05D1099894

Pacific Crest Medical Group · Dana Point, CA
Expired · Jul 27, 2026
CLIA Number05D1099894
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2024
Certificate Expiration DateJuly 27, 2026
Laboratory DirectorRichard J. Kempert MD
Laboratory Phone(949) 496-4369
Laboratory LocationPacific Crest Medical Group34052 La Plaza Ste 101, Dana Point, CA 92629
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Family Medicine
34052 LA PLZ, STE 102
DANA POINT, CA 92629
General Practice
34052 LA PLZ, SUITE 104
DANA POINT, CA 92629
Family Medicine
34052 LA PLZ, SUITE 102
DANA POINT, CA 92629
Counselor (Addiction (Substance Use Disorder))
34052 LA PLZ, SUITE 101
DANA POINT, CA 92629
General Practice
34052 LA PLZ, STE 104
DANA POINT, CA 92629
Family Medicine
34052 LA PLZ, SUITE 101
DANA POINT, CA 92629
Family Medicine
34052 LA PLZ, SUITE 101
DANA POINT, CA 92629

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 Pacific Crest Medical Group Inc's NPI number?

The NPI number for Pacific Crest Medical Group Inc is 1932131653. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is Pacific Crest Medical Group Inc located?

Pacific Crest Medical Group Inc is located at 34052 La Plz Suite 101, Dana Point, CA 92629. The listed phone number is (949) 388-4316.

What is Pacific Crest Medical Group Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Pacific Crest Medical Group Inc was last updated on February 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.