Organization Active NPI

N Charle Morcos MD PHD Inc

  • Specialist
  • Santa Ana, CA
National Provider Identifier
1205146156
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G72410 Issued in CA
Legal business name
N CHARLE MORCOS MD PHD INC
Practice address
999 N Tustin Ste 15
Santa Ana, CA 92705-3530
Phone
(714) 564-8287
NPI assigned
Oct 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Dr. Nabil Charle Morcos, MDNPI 1285656835
Title
President
Phone
(714) 564-8287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G72410 CA Primary

Addresses

Primary practice location

999 N Tustin Ste 15
Santa Ana, CA 92705-3530

Mailing address

999 N Tustin Ave Ste 15
Santa Ana, CA 92705-3530
Phone (714) 564-8287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101110000541 CA Part B Supplier - Clinic/Group Practice 1557556065 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory

Locations

999 N Tustin Ave
Ste 15
Santa Ana, CA 92705
Phone (714) 564-8287

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1205146156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE STE 15",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053530",
            "telephone_number": "714-564-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN STE 15",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053530",
            "telephone_number": "714-564-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N CHARLE MORCOS MD PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "MORCOS",
        "authorized_official_first_name": "NABIL",
        "authorized_official_middle_name": "CHARLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-564-8287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G72410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.