NPIMap

Organization Active NPI

Orange Family Medicine Inc

  • General Practice Physician
  • Orange, CA
National Provider Identifier
1104120633
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C40484 Issued in CA
Legal business name
ORANGE FAMILY MEDICINE INC
Practice address
229 S Glassell St
Orange, CA 92866-1945
Phone
(714) 639-0303
Fax
(714) 639-3708
NPI assigned
Dec 23, 2010
Last updated
Apr 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Dr. Alonzo Juan Flores, M.D.NPI 1518013978
Title
Ceo
Phone
(714) 639-0303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X C40484 CA Primary

Addresses

Primary practice location

229 S Glassell St
Orange, CA 92866-1945

Mailing address

229 S Glassell St
Orange, CA 92866-1945
Phone (714) 639-0303

National Provider Directory

National Provider Directory

Locations

229 S Glassell St
Orange, CA 92866
Phone (714) 639-0303

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1104120633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 S GLASSELL ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928661945",
            "telephone_number": "714-639-0303",
            "fax_number": "714-639-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 S GLASSELL ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928661945",
            "telephone_number": "714-639-0303",
            "fax_number": "714-639-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-23",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ALONZO",
        "authorized_official_middle_name": "JUAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-639-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "C40484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.