NPIMap

Organization Active NPI

With Opens Arms Reproductive Health Care Services

  • Family Medicine Physician
  • Eureka, CA
National Provider Identifier
1134510399
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WITH OPENS ARMS REPRODUCTIVE HEALTH CARE SERVICES
Practice address
2505 Lucas St
Ste B
Eureka, CA 95501-3340
Phone
(707) 442-0400
Fax
(707) 442-0404
NPI assigned
Feb 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Timothy C Nicely-Paik, MD
Title
Owner
Phone
(707) 442-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X CA Primary

Addresses

Primary practice location

2505 Lucas St
Ste B
Eureka, CA 95501-3340

Mailing address

2505 Lucas St
Ste B
Eureka, CA 95501-3340
Phone (707) 442-0400

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23253/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1134510399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 LUCAS ST",
            "address_2": "STE B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013340",
            "telephone_number": "707-442-0400",
            "fax_number": "707-442-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 LUCAS ST",
            "address_2": "STE B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013340",
            "telephone_number": "707-442-0400",
            "fax_number": "707-442-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITH OPENS ARMS REPRODUCTIVE HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "NICELY-PAIK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-442-0400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.