NPIMap

Organization Active NPI

Family Medical and Occupational Clinics in Ca

  • Legal Medicine
  • Anaheim, CA
National Provider Identifier
1144608779
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
A42255 Issued in CA
Legal business name
FAMILY MEDICAL AND OCCUPATIONAL CLINICS IN CA
Practice address
1120 W la Palma Ave Ste 10
Anaheim, CA 92801-2805
Phone
(714) 774-0754
Fax
(714) 774-0119
NPI assigned
May 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Dr. George Fouad Youssef, M.D.
Title
President
Phone
(714) 774-0754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X A42255 CA Primary

Addresses

Primary practice location

1120 W la Palma Ave Ste 10
Anaheim, CA 92801-2805

Mailing address

1120 W la Palma Ave Ste 10
Anaheim, CA 92801-2805
Phone (714) 774-0754

Other identifiers 1

IdentifierTypeStateIssuer
00A422550MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1144608779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W LA PALMA AVE STE 10",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012805",
            "telephone_number": "714-774-0754",
            "fax_number": "714-774-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W LA PALMA AVE STE 10",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012805",
            "telephone_number": "714-774-0754",
            "fax_number": "714-774-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL AND OCCUPATIONAL CLINICS IN CA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "FOUAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-774-0754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "A42255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A422550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.