NPIMap

Organization Active NPI

First Choice Physician Partners

  • Surgery Physician
  • Placentia, CA
National Provider Identifier
1134466642
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
FIRST CHOICE PHYSICIAN PARTNERS
Practice address
1325 N Rose Dr
Ste 210
Placentia, CA 92870-3800
Phone
(714) 961-5804
Fax
(714) 961-5809
NPI assigned
Jan 4, 2013
Organization subpart
Yes
Parent organization
FIRST CHOICE PHYSICIAN PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Mr. Jeff Koury
Title
SVP Regional Operations, Tenet
Phone
(714) 428-6842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1325 N Rose Dr
Ste 210
Placentia, CA 92870-3800

Mailing address

1325 N Rose Dr
Ste 210
Placentia, CA 92870-3800
Phone (714) 961-5804

Other names 1

  • Rocky Balch, MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120710000480 CA Part B Supplier - Clinic/Group Practice 0941465322 Receives reassigned benefits from 479 practitioners
24 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 24

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 24

National Provider Directory

National Provider Directory
Tax ID family
First Choice Phys Partners17 organizations share this tax ID, including this one
Part of
First Choice Phys Partners

Other organizations with this tax ID 16

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

View all 16

Locations

1510 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5910

Practitioners & affiliated clinicians

Practitioners 6

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": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1134466642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N ROSE DR",
            "address_2": "STE 210",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703800",
            "telephone_number": "714-961-5804",
            "fax_number": "714-961-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N ROSE DR",
            "address_2": "STE 210",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703800",
            "telephone_number": "714-961-5804",
            "fax_number": "714-961-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE PHYSICIAN PARTNERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST CHOICE PHYSICIAN PARTNERS",
        "enumeration_date": "2013-01-04",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "KOURY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "SVP REGIONAL OPERATIONS, TENET",
        "authorized_official_telephone_number": "714-428-6842",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Balch, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.