NPIMap

Organization Active NPI

Stuart L Zubrick Marriage Family and Child Counseling, a Prof Corp

  • Non-Pharmacy Dispensing Site
  • Santa Ana, CA
National Provider Identifier
1235404682
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
STUART L ZUBRICK MARRIAGE FAMILY AND CHILD COUNSELING, A PROF CORP
Practice address
1206 E 17TH St
Ste 106
Santa Ana, CA 92701-2641
Phone
(714) 210-8848
NPI assigned
Mar 19, 2012
Organization subpart
Yes
Parent organization
STUART L ZUBRICK MARRIAGE FAMILY AND CHILD COUNSELING, A PROF CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Dr. Grant P Williams, MD
Title
Medical Director
Phone
(714) 210-8848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

1206 E 17TH St
Ste 106
Santa Ana, CA 92701-2641

Mailing address

2980 N Beverly Glen Cir
Suite 100
Los Angeles, CA 90077-1726
Phone (310) 474-9809

Other names 1

  • Industrial Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stuart L Zubrick Marriage Family and Child Counseling a Prof Corp7 organizations share this tax ID, including this one
Part of
Stuart L Zubrick Marriage Family and Child Counseling a Prof Corp

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1206 E 17th St
Ste 106
Santa Ana, CA 92701
Phone (714) 210-8848

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1235404682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 E 17TH ST",
            "address_2": "STE 106",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012641",
            "telephone_number": "714-210-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART L ZUBRICK MARRIAGE FAMILY AND CHILD COUNSELING, A PROF CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STUART L ZUBRICK MARRIAGE FAMILY AND CHILD COUNSELING, A PROF CORP",
        "enumeration_date": "2012-03-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-210-8848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Industrial Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.