Eagan Concierge Medical Group, Inc
NPI 1083296446 · Psychiatry Physician · Los Angeles, CA
Eagan Concierge Medical Group, Inc is a Psychiatry Physician organization in Los Angeles, CA (NPI 1083296446).
Provider details
- NPI number
- 1083296446
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Breanna Splain, Director of Credentialing(760) 835-6880
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-04-26
- Last updated
- 2021-04-26
- Certified
- 2021-03-25
Frequently asked questions
- What is Eagan Concierge Medical Group, Inc's NPI number?
- Eagan Concierge Medical Group, Inc's National Provider Identifier (NPI) is 1083296446, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eagan Concierge Medical Group, Inc?
- Eagan Concierge Medical Group, Inc is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Eagan Concierge Medical Group, Inc located?
- Eagan Concierge Medical Group, Inc's practice location on file with NPPES is 2658 Griffith Park Blvd Ste 305, Los Angeles, CA 90039-2520.
- What is Eagan Concierge Medical Group, Inc's phone number?
- The practice phone number listed in the NPPES registry for Eagan Concierge Medical Group, Inc is (310) 702-9803.
- Who is the authorized official for Eagan Concierge Medical Group, Inc?
- The authorized official listed on Eagan Concierge Medical Group, Inc's NPPES record is Breanna Splain, Director of Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eagan Concierge Medical Group, Inc's NPI active?
- Yes — Eagan Concierge Medical Group, Inc's NPI (1083296446) is active in the NPPES registry as of the last update on 2021-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.