Active NPI
John J. Fortier, M.D.
- Cardiovascular Disease Physician
- Alhambra, CA
National Provider Identifier
1235319484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A16184
- Legal business name
- JOHN J. FORTIER, M.D.
- Practice address
- 1001 E Main St
Alhambra, CA 91801-4110 - Phone
- (626) 284-3111
- Fax
- (626) 284-1002
- NPI assigned
- Nov 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lee Cockrell
- Title
- Ofice Manager
- Phone
- (626) 284-3777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A16184 | CA | Primary |
Addresses
Primary practice location
1001 E Main St
Alhambra, CA 91801-4110
Mailing address
1001 E Main St
Alhambra, CA 91801-4110
Phone (626) 284-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YYY43019Y | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1001 E Main St
Alhambra, CA 91801
Phone (626) 284-3111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194220800000",
"number": "1235319484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E MAIN ST",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918014110",
"telephone_number": "626-284-3111",
"fax_number": "626-284-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E MAIN ST",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918014110",
"telephone_number": "626-284-3111",
"fax_number": "626-284-1002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN J. FORTIER, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-05",
"last_updated": "2007-11-05",
"status": "A",
"authorized_official_last_name": "COCKRELL",
"authorized_official_first_name": "LEE",
"authorized_official_title_or_position": "OFICE MANAGER",
"authorized_official_telephone_number": "626-284-3777",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A16184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "YYY43019Y",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.