Organization Active NPI

Pramar Medical Clinic Inc.

  • General Practice Physician
  • Anaheim, CA
National Provider Identifier
1194965798
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PRAMAR MEDICAL CLINIC INC.
Practice address
1775 E Lincoln Ave
Anaheim, CA 92805-4366
Phone
(714) 563-2517
Fax
(714) 563-2703
NPI assigned
Feb 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Gerardo Prado
Title
President
Phone
(714) 563-2517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1775 E Lincoln Ave
Anaheim, CA 92805-4366

Mailing address

PO Box 11823
Santa Ana, CA 92711-1823
Phone (714) 563-2517

National Provider Directory

National Provider Directory

Locations

1775 E Lincoln Ave
Anaheim, CA 92805
Phone (714) 563-2517

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1194965798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11823",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927111823",
            "telephone_number": "714-563-2517",
            "fax_number": "714-563-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 E LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054366",
            "telephone_number": "714-563-2517",
            "fax_number": "714-563-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAMAR MEDICAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-563-2517"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 23, 2009; 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.