NPIMap

Organization Active NPI

Mission Physician Services of California, LLC

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1033429436
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MISSION PHYSICIAN SERVICES OF CALIFORNIA, LLC
Practice address
3220 S Peoria Ave Ste 101
Tulsa, OK 74105-2006
Phone
(918) 770-4441
Fax
(918) 712-9880
NPI assigned
Oct 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Mr. Kevin M. Webb
Title
President
Phone
(918) 770-4441

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

3220 S Peoria Ave Ste 101
Tulsa, OK 74105-2006

Mailing address

3220 S Peoria Ave Ste 101
Tulsa, OK 74105-2006
Phone (918) 770-4441

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1033429436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 S PEORIA AVE STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741052006",
            "telephone_number": "918-770-4441",
            "fax_number": "918-712-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 S PEORIA AVE STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741052006",
            "telephone_number": "918-770-4441",
            "fax_number": "918-712-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION PHYSICIAN SERVICES OF CALIFORNIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-770-4441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.