Organization Active NPI

Family Medical Clinic

  • Clinic/Center
  • Anaheim, CA
National Provider Identifier
1114139839
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A056311 Issued in CA
Legal business name
FAMILY MEDICAL CLINIC
Practice address
303 N East St # 2
Anaheim, CA 92805-3341
Phone
(714) 491-1771
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Dr. Rubina Shaheen, MD
Title
Doctor
Phone
(714) 491-1771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A056311 CA Primary

Addresses

Primary practice location

303 N East St # 2
Anaheim, CA 92805-3341

Mailing address

303 N East St # 2
Anaheim, CA 92805-3341

National Provider Directory

National Provider Directory

Locations

303 N East St
#2
Anaheim, CA 92805
Phone (714) 491-1771

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1114139839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N EAST ST # 2",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N EAST ST # 2",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053341",
            "telephone_number": "714-491-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "SHAHEEN",
        "authorized_official_first_name": "RUBINA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "714-491-1771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A056311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.