Active NPI
Albert F Garib M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Costa Mesa, CA
National Provider Identifier
1154540722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- G17925
- Legal business name
- ALBERT F GARIB M.D.
- Practice address
- 301 Victoria St
Costa Mesa, CA 92627-1995 - Phone
- (949) 642-2734
- NPI assigned
- Apr 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Albert F Garib, M.D.
- Title
- President
- Phone
- (949) 643-3345
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | G17925 | CA | Primary |
Addresses
Primary practice location
301 Victoria St
Costa Mesa, CA 92627-1995
Mailing address
PO Box 7630
Laguna Niguel, CA 92607-7630
Phone (949) 643-3345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G179251 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154540722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7630",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926077630",
"telephone_number": "949-643-3345",
"fax_number": "949-643-3560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 VICTORIA ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926271995",
"telephone_number": "949-642-2734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBERT F GARIB M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GARIB",
"authorized_official_first_name": "ALBERT",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-643-3345",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "G17925",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G179251",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.