Total Body Healthcare, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G81865 Issued in CA

Legal business name

TOTAL BODY HEALTHCARE, INC.

Practice address

24401 Muirlands Blvd Ste C
Lake Forest, CA 92630-3949

Phone

(949) 855-8845

Fax

(949) 855-9167

NPI assigned

Jun 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Chyle E Beaird, M.D.

Title

Ceo/Medical Director

Phone

(949) 855-8845

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1043572076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 E IMPERIAL HWY",
            "address_2": "SUITE 614",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928701717",
            "telephone_number": "714-293-4060",
            "fax_number": "714-577-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 MUIRLANDS BLVD STE C",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303949",
            "telephone_number": "949-855-8845",
            "fax_number": "949-855-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL BODY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "BEAIRD",
        "authorized_official_first_name": "CHYLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-855-8845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G81865",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "G81865",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "G81865",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.