Organization Active NPI

MPN, Medical Providers Group, Inc.

  • General Practice Physician
  • Anaheim, CA
National Provider Identifier
1366672099
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C34005 Issued in CA
Legal business name
MPN, MEDICAL PROVIDERS GROUP, INC.
Practice address
1811 E Center St
210
Anaheim, CA 92805-3401
Phone
(714) 399-0596
Fax
(714) 399-0597
NPI assigned
Jul 15, 2009
Last updated
Jul 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Dr. Michael L Streams, M.D.
Title
Director
Phone
(714) 399-0596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X C34005 CA Primary

Addresses

Primary practice location

1811 E Center St
210
Anaheim, CA 92805-3401

Mailing address

235 Verbena LN
Brea, CA 92823-7055
Phone (714) 392-6905

National Provider Directory

National Provider Directory

Locations

1811 E Center St
Ste 210
Anaheim, CA 92805
Phone (714) 399-0596

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1366672099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 VERBENA LN",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928237055",
            "telephone_number": "714-392-6905",
            "fax_number": "714-528-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 E CENTER ST",
            "address_2": "210",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053401",
            "telephone_number": "714-399-0596",
            "fax_number": "714-399-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPN, MEDICAL PROVIDERS GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "STREAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-399-0596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C34005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.