Organization Active NPI

Hawaiian Gardens OBGYN Medical GRP

  • Medical Specialty Clinic/Center
  • Los Alamitos, CA
National Provider Identifier
1033443148
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
20A6917 Issued in CA
Legal business name
HAWAIIAN GARDENS OBGYN MEDICAL GRP
Practice address
3771 Katella Ave
Suite 219
Los Alamitos, CA 90720-3108
Phone
(562) 596-5566
Fax
(562) 498-5899
NPI assigned
Sep 22, 2009
Organization subpart
Yes
Parent organization
LOS ALAMITOS OB GYN MEDICAL GRPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Dr. John L Pinches III, D.O.
Title
Owner
Phone
(562) 596-5566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 20A6917 CA Primary

Addresses

Primary practice location

3771 Katella Ave
Suite 219
Los Alamitos, CA 90720-3108

Mailing address

12321 Carson St
Suite 1
Hawaiian Gardens, CA 90716-1846
Phone (562) 860-9660

National Provider Directory

National Provider Directory
Tax ID family
Los Alamitos OB GYN Med GRP4 organizations share this tax ID, including this one
Part of
Los Alamitos OB GYN Med GRP

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3771 Katella Ave
Ste 219
Los Alamitos, CA 90720
Phone (562) 365-2020

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1033443148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12321 CARSON ST",
            "address_2": "SUITE 1",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907161846",
            "telephone_number": "562-860-9660",
            "fax_number": "562-498-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 KATELLA AVE",
            "address_2": "SUITE 219",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203108",
            "telephone_number": "562-596-5566",
            "fax_number": "562-498-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAIIAN GARDENS OBGYN MEDICAL GRP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOS ALAMITOS OB GYN MEDICAL GRP",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "PINCHES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-596-5566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "20A6917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.