Quality Care Ipa a Medical Group Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

QUALITY CARE IPA A MEDICAL GROUP INC

Practice address

631 S Brookhurst St
201
Anaheim, CA 92804-3510

Phone

(714) 739-5959

Fax

(714) 739-5974

NPI assigned

Dec 17, 2010

Organization subpart

No

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

Authorized official

Name

Jamal A Anaim

Title

Administrator

Phone

(714) 739-5959

Specialties & licenses 1

Addresses

Tax ID family

Quality Care Ipa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Quality Care Ipa

  • Health Maintenance Organization
  • Alhambra, CA
  • NPI 1053602839
  NPD tax ID

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1306149091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 S BROOKHURST ST",
            "address_2": "201",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043510",
            "telephone_number": "714-739-5959",
            "fax_number": "714-739-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 S BROOKHURST ST",
            "address_2": "201",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043510",
            "telephone_number": "714-739-5959",
            "fax_number": "714-739-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE IPA A MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "ANAIM",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-739-5959"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.