Organization Active NPI

Ames a Medical Corp

  • Internal Medicine Physician
  • Costa Mesa, CA
National Provider Identifier
1255423562
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A72007 Issued in CA
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

Updated by the provider on Jan 10, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.