AMERICAN FAMILY MEDICAL GROUP, INC.
NPI 1750410007
Family Medicine in Santa Ana, CA

NPI Status: Active since March 05, 2007

Contact Information

2414 S FAIRVIEW ST STE 112
SANTA ANA, CA
ZIP 92704
Phone: (714) 641-0121
Fax: (714) 641-2054

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  • Organization
  • Family Medicine
  • CLIA Number: 05D0581602
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-10-2026

About AMERICAN FAMILY MEDICAL GROUP, INC.

This page provides the complete NPI Profile along with additional information for American Family Medical Group, Inc., a primary care provider established in Santa Ana, California operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1750410007 assigned on March 2007. The practitioner's primary taxonomy code is 207Q00000X with license number A39997 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. American Family Medical Group, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mrs. Lina R Monroe (Office Manager)

NPI
1750410007
Provider Name
AMERICAN FAMILY MEDICAL GROUP, INC.
Entity Type
Organization
Location Address
2414 S FAIRVIEW ST STE 112 SANTA ANA, CA 92704
Location Phone
(714) 641-0121
Location Fax
(714) 641-2054
Mailing Address
2414 S FAIRVIEW ST STE 112 SANTA ANA, CA 92704
Mailing Phone
(714) 641-0121
Mailing Fax
(714) 641-2054
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2007
Last Update Date
11-03-2011
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A primary care provider (PCP) like American Family Medical Group, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
A39997
License State
CA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. LINA R MONROE

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(714) 641-0121

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
WR8435MEDICARE ID-TYPE UNSPECIFIED (04) 
A88511MEDICARE UPIN (02)CA 
1740244532OTHER (01)CANPI

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0581602
Facility Type
Physician Office
Certificate Effective Date
December 11, 2024
Certificate Expiration Date
December 10, 2026
Laboratory Director
MARK N. MONROE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to American Family Medical Group, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750410007
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710081000
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 8 + 1 + 0 + 0 + 0 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1750410007 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750410007, enumerated in the NPI registry as an "organization" on March 05, 2007

The provider is located at 2414 S Fairview St Ste 112 Santa Ana, Ca 92704 and the phone number is (714) 641-0121

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 05D0581602 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on March 05, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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