Organization Active NPI

Low T Physicians of California PC

  • Family Medicine Physician
  • Irvine, CA
National Provider Identifier
1154757201
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LOW T PHYSICIANS OF CALIFORNIA PC
Practice address
4968 Booth Circle
Suite 110
Irvine, CA 92604-3371
Phone
(877) 544-5698
Fax
(817) 576-5699
NPI assigned
Sep 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Authorized official

Name
William G Reilly, MD
Title
National Medical Director
Phone
(877) 544-5698

Specialties & licenses 1

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

Addresses

Primary practice location

4968 Booth Circle
Suite 110
Irvine, CA 92604-3371

Mailing address

1901 John McCain Rd
Colleyville, TX 76034-7302
Phone (817) 576-5698

National Provider Directory

National Provider Directory

Locations

1901 John McCain Rd
Colleyville, TX 76034
Phone (817) 576-5698

NPI Registry JSON

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1154757201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 JOHN MCCAIN RD",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347302",
            "telephone_number": "817-576-5698",
            "fax_number": "817-576-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4968 BOOTH CIRCLE",
            "address_2": "SUITE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043371",
            "telephone_number": "877-544-5698",
            "fax_number": "817-576-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOW T PHYSICIANS OF CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "NATIONAL MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "877-544-5698",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.