Hisham Psychiatric Medicine Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

HISHAM PSYCHIATRIC MEDICINE INC

Practice address

2900 Bristol St Ste B320
Costa Mesa, CA 92626-5987

Phone

(509) 319-0845

NPI assigned

Apr 5, 2021

Organization subpart

No

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

Authorized official

Name

Jason Brumback

Title

President

Phone

(509) 319-0845

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1124607353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 BRISTOL ST STE B320",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265987",
            "telephone_number": "509-319-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BRISTOL ST STE B320",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265987",
            "telephone_number": "509-319-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISHAM PSYCHIATRIC MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "BRUMBACK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-319-0845"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jason@theresurfacegroup.com",
            "affiliation": "N",
            "address_1": "2900 Bristol St Ste B320",
            "city": "Costa Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926265987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gemma Hipolito, D.D.S.
• Julianne Guevarra Hiramoto, DPT
• Hired Power Transitional Living Center
• Hired Power Transitional Living Center LLC
• Hired Power Transitional Living Center, LLC
• Julie Ho, DMD
• Lina Ho
• Roger Cheng-Hueh Ho, D.D.S.
• Thiendi Ho
• Hoag Medical Group Inc.

• Psychiatry Physician in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.