NPIMap

Organization Active NPI

Twins Physical Medicine

  • Clinic/Center
  • Costa Mesa, CA
National Provider Identifier
1114407772
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TWINS PHYSICAL MEDICINE
Practice address
3140 Bear St Ste 200
Costa Mesa, CA 92626-2964
Phone
(714) 545-2005
NPI assigned
Aug 14, 2018
Organization subpart
Yes
Parent organization
TWINS PHYSICAL MEDICINE CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Authorized official

Name
Daniel Albert Clements
Title
Owner
Phone
(714) 621-0327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3140 Bear St Ste 200
Costa Mesa, CA 92626-2964

Mailing address

3140 Bear St Ste 200
Costa Mesa, CA 92626-2964

National Provider Directory

National Provider Directory
Tax ID family
Twins Physical Medicine4 organizations share this tax ID, including this one
Part of
Twins Physical Medicine

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3140 Bear St
Ste 200
Costa Mesa, CA 92626
Phone (714) 545-2005

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1114407772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 BEAR ST STE 200",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 BEAR ST STE 200",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262964",
            "telephone_number": "714-545-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWINS PHYSICAL MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TWINS PHYSICAL MEDICINE CORP",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-621-0327"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.