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GARDEN GROVE MEDICAL GROUP INC
NPI 1972781458
General Practice in Garden Grove, CA

Active since February 06, 2008CLIA 05D0959786 · Waiver
9896 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844(714) 636-3032(714) 636-3116 Get Directions Write a Review

NPPES record last updated: November 22, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Garden Grove Medical Group Inc NPPES

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

GARDEN GROVE MEDICAL GROUP INC (NPI 1972781458) is a healthcare organization registered as a general practice in Garden Grove, California and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through August 13, 2028 and lists Robert T Ha, President, as its authorized official.

NPPES Registry Identity

NPI1972781458
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGARDEN GROVE MEDICAL GROUP INC
Location Address9896 GARDEN GROVE BLVDGarden Grove, CA 92844-1643
Mailing Address9896 Garden Grove BlvdGarden Grove, CA 92844-1643 · (714) 636-3032 · Fax (714) 636-3116
Phone(714) 636-3032
Fax(714) 636-3116
Organization SubpartNo
Authorized OfficialRobert T HaPresident · (714) 636-3032
Enumeration DateFebruary 6, 2008
Last NPPES UpdateNovember 22, 2013
✔ NPI 1972781458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
9896 GARDEN GROVE BLVD, Garden Grove, CA 92844
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Other Identifiers 1

Medicare PINGA7534CA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Garden Grove Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Garden Grove Medical Group Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Robert Ha, MD
Internal Medicine
NPI 1750302188
9896 GARDEN GROVE BLVD
Garden Grove, CA 92844
(714) 636-3032
✔ PECOS✔ Accepts MedicareSame address
Jieun Shin
Nurse Practitioner
NPI 1275035917
9896 GARDEN GROVE BLVD
Garden Grove, CA 92844
(714) 636-3032
✔ PECOSSame address
Luke Won
Podiatry
NPI 1144625823
520 N MAIN ST STE 120
Santa Ana, CA 92701
(714) 352-5800
✔ PECOS✔ Accepts Medicare5.6 mi

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 05D0959786

Garden Grove Medical Group · Garden Grove, CA
Active · expires Aug 13, 2028
CLIA Number05D0959786
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2026
Certificate Expiration DateAugust 13, 2028
Laboratory DirectorRobert T. Ha
Laboratory Phone(714) 636-3032
Laboratory LocationGarden Grove Medical Group9896 Garden Grove Blvd, Garden Grove, CA 92844
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 Garden Grove Medical Group Inc's NPI number?

The NPI number for Garden Grove Medical Group Inc is 1972781458. It was assigned to this organization in the NPPES registry on February 6, 2008.

Where is Garden Grove Medical Group Inc located?

Garden Grove Medical Group Inc is located at 9896 Garden Grove Blvd, Garden Grove, CA 92844. The listed phone number is (714) 636-3032.

What is Garden Grove Medical Group Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Garden Grove Medical Group Inc enrolled in Medicare?

Yes. Garden Grove Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Garden Grove Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Garden Grove Medical Group Inc, in Internal Medicine, Nurse Practitioner and Podiatry. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Garden Grove Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0959786) is associated with this NPI, valid through August 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Garden Grove Medical Group Inc was last updated on November 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.