Orange Park Medical Group, a Professional Corp.

Primary specialty

SpecialistTaxonomy code 174400000X

License

BUS2010-02745 Issued in CA

Legal business name

ORANGE PARK MEDICAL GROUP, A PROFESSIONAL CORP.

Practice address

2500 E Ball Rd Ste 200
Anaheim, CA 92806

Phone

(714) 284-0111

Fax

(714) 284-0433

NPI assigned

Mar 7, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Ghazala Ahmed

Title

Secretary

Phone

(714) 284-0111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1124369715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E BALL RD STE 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065063",
            "telephone_number": "714-284-0111",
            "fax_number": "714-284-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E BALL RD STE 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92806",
            "telephone_number": "714-284-0111",
            "fax_number": "714-284-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE PARK MEDICAL GROUP, A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "GHAZALA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-284-0111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "BUS2010-02745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orange County Scoliosis & Disc Center Chiropractic
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• Orange County Women'S Healthcare Associates
• Orange County Womens Medical Group
• Orange Imaging Medical Center
• Orangecoast Partners
• Orangeview Health Advocacy
• Orangeview Hospice Care Inc.
• Orangeview Physical Therapy Inc.
• Mary Ordonio

• Specialist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.