Fig Garden Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

FIG GARDEN MEDICAL GROUP

Practice address

17821 17TH St Ste 250
Tustin, CA 92780-2173

Phone

(714) 505-2093

Fax

(714) 573-0072

NPI assigned

Aug 21, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Vivian Workman

Title

President

Phone

(714) 505-2093

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1063846442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17821 17TH ST STE 250",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802173",
            "telephone_number": "714-505-2093",
            "fax_number": "714-573-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17821 17TH ST STE 250",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802173",
            "telephone_number": "714-505-2093",
            "fax_number": "714-573-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIG GARDEN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-505-2093",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Tustin, CA
• Providers in Tustin, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.