NPIMap

Organization Active NPI

Brian K Machida MD a Medical Corp

  • Otolaryngology/Facial Plastic Surgery Physician
  • West Covina, CA
National Provider Identifier
1003108291
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
G52616 Issued in CA
Legal business name
BRIAN K MACHIDA MD A MEDICAL CORP
Practice address
1250 S Sunset Ave
#206
West Covina, CA 91790-3961
Phone
(626) 338-4453
Fax
(626) 338-2556
NPI assigned
May 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brian K Machida, M.D
Title
Doctor
Phone
(626) 338-4453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X G52616 CA Primary

Addresses

Primary practice location

1250 S Sunset Ave
#206
West Covina, CA 91790-3961

Mailing address

1250 S Sunset Ave
#206
West Covina, CA 91790-3961
Phone (626) 338-4453

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1003108291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S SUNSET AVE",
            "address_2": "#206",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903961",
            "telephone_number": "626-338-4453",
            "fax_number": "626-338-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S SUNSET AVE",
            "address_2": "#206",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903961",
            "telephone_number": "626-338-4453",
            "fax_number": "626-338-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN K MACHIDA MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "MACHIDA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "626-338-4453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "G52616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.