Organization Active NPI

John J. Fortier, M.D.

  • Cardiovascular Disease Physician
  • Alhambra, CA
National Provider Identifier
1235319484
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A16184 Issued in CA
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

Updated by the provider on Nov 5, 2007

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
YYY43019YMedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.