Organization Active NPI

North Orange County Pediatrics Medical Group Inc

  • Pediatrics Physician
  • Placentia, CA
National Provider Identifier
1205228046
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G77828 Issued in CA
Legal business name
NORTH ORANGE COUNTY PEDIATRICS MEDICAL GROUP INC
Practice address
895 E Yorba Linda Blvd Ste 101
Placentia, CA 92870-7600
Phone
(714) 988-2359
Fax
(714) 582-0945
NPI assigned
Mar 3, 2015
Last updated
Mar 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Dr. Jeffry Gill, M.D.,M.B.A.
Title
President
Phone
(562) 365-3540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X G77828 CA Primary

Addresses

Primary practice location

895 E Yorba Linda Blvd Ste 101
Placentia, CA 92870-7600

Mailing address

895 E Yorba Linda Blvd Ste 101
Placentia, CA 92870-7600
Phone (714) 988-2359

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1205228046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 E YORBA LINDA BLVD STE 101",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928707600",
            "telephone_number": "714-988-2359",
            "fax_number": "714-582-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 E YORBA LINDA BLVD STE 101",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928707600",
            "telephone_number": "714-988-2359",
            "fax_number": "714-582-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ORANGE COUNTY PEDIATRICS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-365-3540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,M.B.A."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G77828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.