Premium Health Medical Group — NPI 1720725583

Premium Health Medical Group’s National Provider Identifier is 1720725583. NPPES classifies this as a Type 2 organization record and reports a practice location in Santa Ana, California. The primary taxonomy is Occupational Medicine Physician.

Key facts

NPI
1720725583
Entity type
Type 2 organization
NPPES status
Active in the August 10, 2026 snapshot
Practice location
1820 E GARRY AVE STE 116
Santa Ana, California 92705
Practice telephone
(949) 463-9876
Primary taxonomy
Occupational Medicine Physician (2083X0100X)
Allopathic & Osteopathic Physicians › Preventive Medicine › Occupational Medicine
Additional taxonomies
  • General Practice Physician (208D00000X)
  • Primary Care Clinic/Center (261QP2300X)
Enumeration date
May 13, 2022
NPPES last update
June 30, 2022
Source
CMS NPPES, NPPES Data Dissemination August 2026 V2

Questions answered by the NPPES record

What is the NPI for Premium Health Medical Group?

The NPI listed for Premium Health Medical Group in the NPPES snapshot is 1720725583. The number passes the NPI check-digit test and is recorded as active in that snapshot.

Is NPI 1720725583 an individual or organization record?

NPPES records NPI 1720725583 as an Entity Type 2 record, which CMS assigns to an organization health care provider.

Where is the reported practice location?

The primary practice location reported to NPPES is 1820 E GARRY AVE STE 116, Santa Ana, California 92705.

What taxonomy codes are listed for this NPI?

3 taxonomy codes are listed. Primary: Occupational Medicine Physician (2083X0100X). Additional: General Practice Physician (208D00000X); Primary Care Clinic/Center (261QP2300X). Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.

When was the NPPES record last updated?

NPPES reports a last update date of June 30, 2022 and an enumeration date of May 13, 2022, as published in NPPES Data Dissemination August 2026 V2.

Source and data date

All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.

CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.

Directory pages

This profile is listed on the Santa Ana, California NPI directory and the California NPI directory.

Other published profiles in Santa Ana, CA

Up to ten other profiles this site publishes for Santa Ana, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 21 published profiles.

Corrections and removal requests

To change the underlying record, the provider or an authorized representative must update it with CMS through the NPPES provider portal; this site cannot edit NPPES data. Changes appear here only after a later monthly file is processed.

To report a presentation error on this site, or to ask that a practice address or telephone number be suppressed from this page, email contact@npireference.com with the NPI and the request. See the corrections page for the full process and timelines. Do not include patient or clinical information.

Independent service disclaimer

This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.