Organization Active NPI

John H Mitchell MD Inc

  • Primary Care Clinic/Center
  • Brea, CA
National Provider Identifier
1285050450
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A42500 Issued in CA
Legal business name
JOHN H MITCHELL MD INC
Practice address
2874 E Imperial Hwy
Brea, CA 92821-6714
Phone
(714) 996-2390
Fax
(714) 996-2301
NPI assigned
Mar 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Authorized official

Name
Dr. John Hugh Mitchell, M.D.NPI 1225024912
Title
President
Phone
(714) 996-2390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A42500 CA Primary

Addresses

Primary practice location

2874 E Imperial Hwy
Brea, CA 92821-6714

Mailing address

2874 E Imperial Hwy
Brea, CA 92821-6714
Phone (714) 996-2390

Other identifiers 1

IdentifierTypeStateIssuer
1225024912OtherCANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140728001608 CA Part B Supplier - Clinic/Group Practice 6002032067 Receives reassigned benefits from 1 practitioner
Practice locations: Brea, CA

National Provider Directory

National Provider Directory

Locations

3000 E Birch St
Ste 107
Brea, CA 92821
Phone (714) 996-2391

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14453/brand/1/csg/1/fhir/r4

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": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1285050450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2874 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216714",
            "telephone_number": "714-996-2390",
            "fax_number": "714-996-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2874 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216714",
            "telephone_number": "714-996-2390",
            "fax_number": "714-996-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H MITCHELL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-996-2390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A42500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225024912",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.