Prospect Northwest Orange County Medical Group Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

PROSPECT NORTHWEST ORANGE COUNTY MEDICAL GROUP INC.

Practice address

1920 E 17TH St
Suite 200
Santa Ana, CA 92705-8626

Phone

(714) 796-5900

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Catherine S Dickson

Title

Ceo

Phone

(714) 796-5940

Specialties & licenses 1

Addresses

Other names 1

• Prospect NWOC Medical Group Inc. Doing business as

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1063533552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E 17TH ST",
            "address_2": "SUITE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058626",
            "telephone_number": "714-796-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E 17TH ST",
            "address_2": "SUITE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058626",
            "telephone_number": "714-796-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT NORTHWEST ORANGE COUNTY MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-796-5940"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prospect NWOC Medical Group Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Maintenance Organization in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.