Pacific Dx Idtf
NPI 1720179476 · Family Medicine Physician · Garden Grove, CA
Pacific Dx Idtf is a Family Medicine Physician organization in Garden Grove, CA (NPI 1720179476).
Provider details
- NPI number
- 1720179476
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bryn Henderson, Authorized Official(714) 741-0622
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
19 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
- 2006-09-27
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pacific Dx Idtf's NPI number?
- Pacific Dx Idtf's National Provider Identifier (NPI) is 1720179476, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Dx Idtf?
- Pacific Dx Idtf is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pacific Dx Idtf located?
- Pacific Dx Idtf's practice location on file with NPPES is 13312 Euclid St, Garden Grove, CA 92843.
- What is Pacific Dx Idtf's phone number?
- The practice phone number listed in the NPPES registry for Pacific Dx Idtf is (714) 741-0622.
- Who is the authorized official for Pacific Dx Idtf?
- The authorized official listed on Pacific Dx Idtf's NPPES record is Bryn Henderson, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Dx Idtf's NPI active?
- Yes — Pacific Dx Idtf's NPI (1720179476) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.