Active NPI
Marco Antonio Angulo, M.D.
- Family Medicine Physician
- Santa Ana, CA
National Provider Identifier
1346530342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A125066
- Practice address
- 1206 E 17TH St
Ste 101
Santa Ana, CA 92701-2641 - Phone
- (714) 352-2911
- Fax
- (714) 352-2903
- NPI assigned
- Apr 11, 2011
- 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 | A125066 | CA | Primary |
Addresses
Primary practice location
1206 E 17TH St
Ste 101
Santa Ana, CA 92701-2641
Mailing address
1206 E 17TH St
Ste 101
Santa Ana, CA 92701-2641
Phone (714) 352-2911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A125066 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California Irvine | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
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.
-
- 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": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475193600000",
"number": "1346530342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 E 17TH ST",
"address_2": "STE 101",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927012641",
"telephone_number": "714-352-2911",
"fax_number": "714-352-2903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 E 17TH ST",
"address_2": "STE 101",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927012641",
"telephone_number": "714-352-2911",
"fax_number": "714-352-2903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGULO",
"first_name": "MARCO",
"middle_name": "ANTONIO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-11",
"last_updated": "2016-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A125066",
"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 Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.