Active NPI
Family Practice Physicians a Medical Corporation
- Family Medicine Physician
- Huntington Beach, CA
National Provider Identifier
1235322694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0021840 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.