Active NPI
Ames a Medical Corp
- Internal Medicine Physician
- Costa Mesa, CA
National Provider Identifier
1255423562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A72007
- Legal business name
- AMES A MEDICAL CORP
- Practice address
- 660 Baker St Ste 215
Costa Mesa, CA 92626-4407 - Phone
- (714) 540-5900
- Fax
- (714) 540-5906
- NPI assigned
- Sep 28, 2006
- 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
- Dr. Nick Mashour, MD
- Title
- Medical Director President
- Phone
- (714) 540-5900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A72007 | CA | Primary |
Addresses
Primary practice location
660 Baker St Ste 215
Costa Mesa, CA 92626-4407
Mailing address
PO Box 1867
Huntington Beach, CA 92647-1867
Phone (714) 540-5900
Other names 1
- Acclain Occupational Medical Group Inc Nick Mashour
National Provider Directory
National Provider DirectoryLocations
660 Baker St
Ste 215
Costa Mesa, CA 92626
Phone (714) 540-5900
1127 Wilshire Blvd
Ste 1202
Los Angeles, CA 90017
Phone (213) 250-4951
6700 Indiana Ave
Riverside, CA 92506
Phone (951) 367-0560
1200 N Tustin Ave
Ste 105
Santa Ana, CA 92705
Phone (714) 540-5900
999 N Tustin Ave
Ste 114
Santa Ana, CA 92705
Phone (714) 508-1981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199923200000",
"number": "1255423562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1867",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926471867",
"telephone_number": "714-540-5900",
"fax_number": "714-540-5906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 BAKER ST STE 215",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264407",
"telephone_number": "714-540-5900",
"fax_number": "714-540-5906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMES A MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2008-01-10",
"status": "A",
"authorized_official_last_name": "MASHOUR",
"authorized_official_first_name": "NICK",
"authorized_official_title_or_position": "MEDICAL DIRECTOR PRESIDENT",
"authorized_official_telephone_number": "714-540-5900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A72007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Acclain Occupational Medical Group Inc Nick Mashour",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.