Organization Active NPI

Family Practice Physicians a Medical Corporation

  • Family Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1235322694
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY PRACTICE PHYSICIANS A MEDICAL CORPORATION
Practice address
20932 Brookhurst St
Suite 101
Huntington Beach, CA 92646-6638
Phone
(714) 963-4559
Fax
(714) 963-0631
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Ms. Adelle Martinez
Title
Office Manager
Phone
(714) 963-4559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

20932 Brookhurst St
Suite 101
Huntington Beach, CA 92646-6638

Mailing address

20932 Brookhurst St
Suite 101
Huntington Beach, CA 92646-6638
Phone (714) 963-4559

Other identifiers 1

IdentifierTypeStateIssuer
GR0021840MedicaidCA

National Provider Directory

National Provider Directory

Locations

20932 Brookhurst St
Ste 101
Huntington Beach, CA 92646
Phone (714) 907-1105

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1235322694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20932 BROOKHURST ST",
            "address_2": "SUITE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926466638",
            "telephone_number": "714-963-4559",
            "fax_number": "714-963-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20932 BROOKHURST ST",
            "address_2": "SUITE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926466638",
            "telephone_number": "714-963-4559",
            "fax_number": "714-963-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE PHYSICIANS A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ADELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-963-4559",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0021840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.