Atul K Madan MD a Medical Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

C53803 Issued in CA

Legal business name

ATUL K MADAN MD A MEDICAL CORPORATION

Practice address

3420 Bristol St Ste 700
Costa Mesa, CA 92626-7137

Phone

(213) 973-2263

Fax

(866) 933-0664

NPI assigned

Dec 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Atul K Madan, MDNPI 1588620363

Title

Surgeon

Phone

(310) 869-7776

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Atul Madan, MD

  • Surgery Physician
  • Orange, CA
  • NPI 1588620363
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1053689679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10573 W PICO BLVD # 859",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642333",
            "telephone_number": "310-869-7776",
            "fax_number": "866-933-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 BRISTOL ST STE 700",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267137",
            "telephone_number": "213-973-2263",
            "fax_number": "866-933-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATUL K MADAN MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "MADAN",
        "authorized_official_first_name": "ATUL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "310-869-7776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "C53803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David F. Atencio, D.C.
• Athletica Physical Therapy
• Bree Nicole Atkins
• Maryam Attar-Seyedi, M.D
• Akua Manu Atuahene, LVN
• Lilian Au, N.D., M.P.H
• Seok Joo Aum, L.AC.
• Karen Moe Aung, PSYD, LP
• Ashley Lauren Avalos, DPT
• Taupatiga Omar Avei

• Surgery Physician in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.