Organization Active NPI

Dr Murray Taubman an Optometric Corporation

  • Medical Specialty Clinic/Center
  • Garden Grove, CA
National Provider Identifier
1194032169
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
6125T Issued in CA
Legal business name
DR MURRAY TAUBMAN AN OPTOMETRIC CORPORATION
Practice address
12568 Valley View St
Garden Grove, CA 92845-2006
Phone
(714) 894-3353
Fax
(714) 373-0670
NPI assigned
Sep 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Dr. Murray Taubman, O.D.
Title
President
Phone
(714) 894-3353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 6125T CA Primary

Addresses

Primary practice location

12568 Valley View St
Garden Grove, CA 92845-2006

Mailing address

12568 Valley View St
Garden Grove, CA 92845-2006
Phone (714) 894-3353

Other identifiers 2

IdentifierTypeStateIssuer
P00939988OtherCARAILROAD MEDICARE PTAN
SD0061250MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1194032169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12568 VALLEY VIEW ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452006",
            "telephone_number": "714-894-3353",
            "fax_number": "714-373-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12568 VALLEY VIEW ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452006",
            "telephone_number": "714-894-3353",
            "fax_number": "714-373-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MURRAY TAUBMAN AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "TAUBMAN",
        "authorized_official_first_name": "MURRAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-894-3353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "6125T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00939988",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0061250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.