Organization Active NPI

Noah Industries

  • General Practice Physician
  • San Clemente, CA
National Provider Identifier
1083801930
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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.COMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X CA
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X CA
Dental AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 126800000X CA
Basic Emergency Medical TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 146N00000X CA
Case Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0400X CA
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X CA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X CA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X CA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X CA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X CA
Home Health Agency 251E00000X CA
Physiological Laboratory 293D00000X CA
Durable Medical Equipment & Medical Supplies 332B00000X CA
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.