NPIMap

Organization Active NPI

One Stop Multi Specialty Medical Group and Therapy

  • Pain Clinic/Center
  • Costa Mesa, CA
National Provider Identifier
1053657080
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
ONE STOP MULTI SPECIALTY MEDICAL GROUP AND THERAPY
Practice address
575 Anton Blvd FL 3
Costa Mesa, CA 92626-7169
Phone
(909) 483-3530
Fax
(909) 380-7741
NPI assigned
Dec 19, 2012
Last updated
Dec 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Authorized official

Name
Eduardo Anguizola, MD
Title
Owner
Phone
(909) 483-3530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X NU Primary

Addresses

Primary practice location

575 Anton Blvd FL 3
Costa Mesa, CA 92626-7169

Mailing address

575 Anton Blvd FL 3
Costa Mesa, CA 92626-7169
Phone (909) 483-3530

National Provider Directory

National Provider Directory
Tax ID family
One Stop Multi Specialty Medical Group and Therapy7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

575 Anton Blvd
Fl 3
Costa Mesa, CA 92626
Phone (562) 313-5202

Ownership & related parties

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1053657080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ANTON BLVD FL 3",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267169",
            "telephone_number": "909-483-3530",
            "fax_number": "909-380-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 ANTON BLVD FL 3",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267169",
            "telephone_number": "909-483-3530",
            "fax_number": "909-380-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE STOP MULTI SPECIALTY MEDICAL GROUP AND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "ANGUIZOLA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-483-3530",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.