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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHADY CANYON MEDICAL GROUP

Active Organization

SHADY CANYON MEDICAL GROUP is a Family Medicine organization located in IRVINE, California. NPI 1922245349 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · IRVINE, CA

Registration Details

NPI Number
1922245349
Provider Type
Organization
NPI Issued
Jan 8, 2009 (17.603642051922 yrs)
Last Updated
Dec 18, 2025
License
A77997 (CA)

Practice Information

Address
15825 LAGUNA CANYON RD STE 104
IRVINE, CA, 926182126
Browse CA providers · Browse ZIP 92618
Phone
9495859870
Fax
9495859331
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.