Bristol Park Medical Group, Inc
Exclusive Provider Organization
2742 Dow Ave, Tustin
California, 92780-7242
714-665-1661 714-665-1669
Bristol Park Medical Group, Inc is not a DME supplier for medicare equipment and products.Bristol Park Medical Group, Inc is a Exclusive Provider Organization in Tustin, California. It is located at 2742 Dow Ave, Tustin and it's customer support contact number is 714-665-1661. The authorized person of Bristol Park Medical Group, Inc is Dr. Mark D Schafer, MD who is Medical Director of this DME and his contact number is 714-665-1661.
Bristol Park Medical Group, Inc is (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
DME Supplier Details:
Bristol Park Medical Group, Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Bristol Park Medical Group, Inc |
| Type: | Exclusive Provider Organization |
| Location: | 2742 Dow Ave, Tustin, California, 92780-7242 |
| Phone: | 714-665-1661 |
| Fax: | 714-665-1669 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Mark D Schafer |
| Credentials: | MD |
| Position: | Medical Director |
| Contact Number: | 714-665-1661 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1548348113 |
| NPI Enumeration Date: | 01 Nov, 2006 |
| NPI Last Update On: | 15 Oct, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bristol Park Medical Group, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Exclusive Provider Organization | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Family Medicine | | | Secondary | |
| Internal Medicine | | | Secondary | |
| Pediatrics | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| GR0069197 | Medicaid | California | |
| GR006919J | Medicaid | California | |
| GR006919A | Medicaid | California | |
| GR006919H | Medicaid | California | |
| GR0069190 | Medicaid | California | |
| GR0069196 | Medicaid | California | |
| GR0069198 | Medicaid | California | |
| GR006919G | Medicaid | California | |
| GR0069199 | Medicaid | California | |
| GR006919B | Medicaid | California | |
| GR0069194 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2742 Dow Ave, Tustin, California |
| Zip: | 92780-7242 |
| Phone Number: | 714-665-1600 |
Patients can reach Bristol Park Medical Group, Inc at
2742 Dow Ave, Tustin, California or can
call on customer care at 714-665-1661.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.