Active NPI
Jose Mayorga, MD
- Family Medicine Physician
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A97237
- Practice address
- 800 N Main St
Santa Ana, CA 92701-3576 - Phone
- (657) 282-6355
- NPI assigned
- Jul 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A97237 | CA | Primary |
Addresses
Primary practice location
800 N Main St
Santa Ana, CA 92701-3576
Mailing address
200 S Manchester Ave Ste 300
Orange, CA 92868-3219
Phone (714) 456-2986
Other practice location 1
2216 Newport Blvd
Costa Mesa, CA 92627-1711
Phone (949) 631-9009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A97237 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California Irvine | Current | Accepting new patients | |
| Regents of the University of | Family Medicine | Current | Accepting new patients |
| University of California Irvine | Current | Accepting new patients | |
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| Uci Department of Urology | Past | Accepting new patients | |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
300 W Carl Karcher Way
Anaheim, CA 92801
Phone (657) 282-6356
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
200 S Manchester Ave
Ste 300
Orange, CA 92868
Phone (714) 424-9001
800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Orange, CA
- NPI 1366590762
-
- Federally Qualified Health Center (FQHC)
- Anaheim, CA
- NPI 1598790529
-
- Pharmacy
- Irvine, CA
- NPI 1669344339
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
- Urology Physician
- Orange, CA
- NPI 1255398533
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1295925154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S MANCHESTER AVE STE 300",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683219",
"telephone_number": "714-456-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N MAIN ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927013576",
"telephone_number": "657-282-6355"
}
],
"practiceLocations": [
{
"address_1": "2216 Newport Blvd",
"address_purpose": "LOCATION",
"city": "Costa Mesa",
"state": "CA",
"postal_code": "926271711",
"country_code": "US",
"telephone_number": "949-631-9009",
"fax_number": "949-631-1984",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAYORGA",
"first_name": "JOSE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-26",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A97237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.