Organization Active NPI

Frederic H. Corbin, M.D. a Professional Corporation

  • Specialist
  • Brea, CA
National Provider Identifier
1144349267
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FREDERIC H. CORBIN, M.D. A PROFESSIONAL CORPORATION
Practice address
400 W Central Ave
Suite 101
Brea, CA 92821-3013
Phone
(714) 671-3033
Fax
(714) 671-1231
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Dr. Frederic H Corbin, M.D.
Title
President
Phone
(714) 671-3033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

400 W Central Ave
Suite 101
Brea, CA 92821-3013

Mailing address

400 W Central Ave
Suite 101
Brea, CA 92821-3013
Phone (714) 671-3033

Other identifiers 1

IdentifierTypeStateIssuer
FK746AOtherCAMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1144349267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W CENTRAL AVE",
            "address_2": "SUITE 101",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213013",
            "telephone_number": "714-671-3033",
            "fax_number": "714-671-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CENTRAL AVE",
            "address_2": "SUITE 101",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213013",
            "telephone_number": "714-671-3033",
            "fax_number": "714-671-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERIC H. CORBIN, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "CORBIN",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-671-3033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FK746A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.