Community Care Health Centers

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COMMUNITY CARE HEALTH CENTERS

Practice address

8041 Newman Ave
Huntington Beach, CA 92647-7034

Phone

(714) 847-4222

Fax

(714) 842-0716

NPI assigned

Jun 17, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracey K Gould

Title

Chief Financial Officer

Phone

(714) 847-4222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306841036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8041 NEWMAN AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477034",
            "telephone_number": "714-847-4222",
            "fax_number": "714-842-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8041 NEWMAN AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477034",
            "telephone_number": "714-847-4222",
            "fax_number": "714-842-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "714-847-4222"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.