Active NPI
Noah Industries
- General Practice Physician
- San Clemente, CA
National Provider Identifier
1083801930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- NOAH INDUSTRIES
- Practice address
- 647 Camino de Los Mares Ste 108
San Clemente, CA 92673-2806 - Phone
- (949) 300-4882
- NPI assigned
- Sep 25, 2007
- Organization subpart
- Yes
- Parent organization
- FOURPERCENTLISTING.COM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine H Hamer, N.P.
- Title
- Owner
- Phone
- (949) 300-4882
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | CA | ||
| Dental Hygienist | 124Q00000X | CA | ||
| Dental Assistant | 126800000X | CA | ||
| Basic Emergency Medical Technician | 146N00000X | CA | ||
| Case Management Registered Nurse | 163WC0400X | CA | ||
| Licensed Practical Nurse | 164W00000X | CA | ||
| Family Medicine Physician | 207Q00000X | CA | ||
| Internal Medicine Physician | 207R00000X | |||
| Plastic Surgery Physician | 208200000X | CA | ||
| General Practice Physician | 208D00000X | CA | Primary | |
| Physical Therapist | 225100000X | CA | ||
| Home Health Agency | 251E00000X | CA | ||
| Physiological Laboratory | 293D00000X | CA | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | CA | ||
| Adult Health Nurse Practitioner | 363LA2200X | CA |
Addresses
Primary practice location
647 Camino de Los Mares Ste 108
San Clemente, CA 92673-2806
Mailing address
647 Camino de Los Mares Ste 108
San Clemente, CA 92673-2806
Phone (949) 300-4882
Other names 1
- noahcare.com
National Provider Directory
National Provider DirectoryLocations
647 Camino de los Mares
Ste 108
San Clemente, CA 92673
Phone (949) 300-4882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255564800000",
"number": "1083801930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "647 CAMINO DE LOS MARES STE 108",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926732806",
"telephone_number": "949-300-4882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "647 CAMINO DE LOS MARES STE 108",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926732806",
"telephone_number": "949-300-4882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOAH INDUSTRIES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FOURPERCENTLISTING.COM",
"enumeration_date": "2007-09-25",
"last_updated": "2009-10-15",
"status": "A",
"authorized_official_last_name": "HAMER",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-300-4882",
"authorized_official_credential": "N.P."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "126800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dental Assistant",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "146N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Basic",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Case Management",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "noahcare.com",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.