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 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.
SpecializationLicense NumberStateStatus
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.
IdentifierTypeStateIssuer
GR0069197MedicaidCalifornia
GR006919JMedicaidCalifornia
GR006919AMedicaidCalifornia
GR006919HMedicaidCalifornia
GR0069190MedicaidCalifornia
GR0069196MedicaidCalifornia
GR0069198MedicaidCalifornia
GR006919GMedicaidCalifornia
GR0069199MedicaidCalifornia
GR006919BMedicaidCalifornia
GR0069194MedicaidCalifornia
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.