First Fountains Medical Center Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A48893 Issued in CA

Legal business name

FIRST FOUNTAINS MEDICAL CENTER INC.

Practice address

1480 S Harbor Blvd Ste 1
La Habra, CA 90631-7506

Phone

(714) 255-1148

Fax

(714) 482-0778

NPI assigned

Oct 3, 2006

Last updated

Apr 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ker-Chow Chang, M.D.NPI 1346333648

Title

President

Phone

(714) 255-1148

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ker-Chow Chang, M.D.

  • Family Medicine Physician
  • La Habra, CA
  • NPI 1346333648
  Authorized official Same address or phone

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1043304025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 S HARBOR BLVD STE 1",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317506",
            "telephone_number": "714-255-1148",
            "fax_number": "714-482-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 S HARBOR BLVD STE 1",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317506",
            "telephone_number": "714-255-1148",
            "fax_number": "714-482-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST FOUNTAINS MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "KER-CHOW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-255-1148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A48893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Linda Fleming
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• Family Medicine Physician in La Habra, CA
• Providers in La Habra, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.