Organization Active NPI

California Advanced Specialty Healthcare AMC

  • Occupational Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1073877916
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
CALIFORNIA ADVANCED SPECIALTY HEALTHCARE AMC
Practice address
1440 E 1St St
100
Santa Ana, CA 92701-6384
Phone
(818) 701-1800
Fax
(818) 885-1171
NPI assigned
Jun 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Wendy Morley
Title
Biller
Phone
(818) 701-1800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

1440 E 1St St
100
Santa Ana, CA 92701-6384

Mailing address

333 Washington Blvd
513
Marina del Rey, CA 90292-5136
Phone (818) 701-1800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1073877916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WASHINGTON BLVD",
            "address_2": "513",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925136",
            "telephone_number": "818-701-1800",
            "fax_number": "818-885-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 E 1ST ST",
            "address_2": "100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927016384",
            "telephone_number": "818-701-1800",
            "fax_number": "818-885-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA ADVANCED SPECIALTY HEALTHCARE AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "MORLEY",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "818-701-1800"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.