Organization Active NPI

Alka R Kothari MD Inc

  • Clinical Medical Laboratory
  • Orange, CA
National Provider Identifier
1114258464
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D1099388 Issued in CA
Legal business name
ALKA R KOTHARI MD INC
Practice address
765 N Tustin St
Orange, CA 92867-7128
Phone
(714) 369-4247
Fax
(714) 997-8383
NPI assigned
Jan 27, 2010
Last updated
May 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Alka R Kothari, MDNPI 1225097694
Title
President
Phone
(562) 868-3751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D1099388 CA Primary

Addresses

Primary practice location

765 N Tustin St
Orange, CA 92867-7128

Mailing address

PO Box 10076
Van Nuys, CA 91410-0076
Phone (805) 578-8300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1114258464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10076",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914100076",
            "telephone_number": "805-578-8300",
            "fax_number": "805-578-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 N TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677128",
            "telephone_number": "714-369-4247",
            "fax_number": "714-997-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALKA R KOTHARI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "KOTHARI",
        "authorized_official_first_name": "ALKA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-868-3751",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D1099388",
            "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 May 27, 2010; 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.