MEDEXA MEDICAL GROUP, CORPORATION
NPI 1982417101
General Practice in Santa Ana, CA
About Medexa Medical Group, Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDEXA MEDICAL GROUP, CORPORATION (NPI 1982417101) is a healthcare organization registered as a general practice in Santa Ana, California and active in the NPI registry since January 2025. The organization lists Diluvan Hassan, Secretary, 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)
Medexa Medical Group, Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Medexa Medical Group, Corporation, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
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 Medexa Medical Group, Corporation's NPI number?
The NPI number for Medexa Medical Group, Corporation is 1982417101. It was assigned to this organization in the NPPES registry on January 30, 2025.
Where is Medexa Medical Group, Corporation located?
Medexa Medical Group, Corporation is located at 2204 E 4th St Ste 106, Santa Ana, CA 92705. The listed phone number is (949) 832-1055.
What is Medexa Medical Group, Corporation's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Medexa Medical Group, Corporation enrolled in Medicare?
Yes. Medexa Medical Group, Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Medexa Medical Group, Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Medexa Medical Group, Corporation. 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. The largest specialties are Nurse Practitioner (8), Family Practice (1) and Internal Medicine (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Medexa Medical Group, Corporation was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Medexa Medical Group, Corporation · NPI 1982417101
General Practice organization in Santa Ana, California. Organization record, active in the CMS NPPES registry since January 30, 2025.
## Identity
- **NPI:** 1982417101 (Entity type: Organization)
- **Enumerated:** January 30, 2025
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Diluvan Hassan, SECRETARY
## Practice location
- **Address:** 2204 E 4TH ST STE 106, Santa Ana, CA 92705-3868
- **Phone:** (949) 832-1055
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Family Practice (1), Internal Medicine (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1982417101) · Data from the CMS NPPES public registry.