NPIMap

Organization Active NPI

Contemporary Healthcare Medical Group, Inc.

Doing business as CHMG

  • Family Medicine Physician
  • San Clemente, CA
National Provider Identifier
1427159383
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A5020 Issued in CA
Legal business name
CONTEMPORARY HEALTHCARE MEDICAL GROUP, INC.
Doing business as
CHMG
Practice address
3553 Camino Mira Costa
#A
San Clemente, CA 92672-3512
Phone
(949) 661-6001
Fax
(949) 661-8353
NPI assigned
Sep 25, 2006
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Dr. David R. Zachary, M.D.
Title
Secretary
Phone
(949) 661-6001

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X G26491 MCGEE CA
Primary Care Clinic/Center 261QP2300X G25398 ZACHARY CA
Family Medicine Physician 207Q00000X 20A5020 CA Primary

Addresses

Primary practice location

3553 Camino Mira Costa
#A
San Clemente, CA 92672-3512

Mailing address

3553 Camino Mira Costa
#A
San Clemente, CA 92672-3512
Phone (949) 661-6001

Other names 1

  • CHMG Doing business as

National Provider Directory

National Provider Directory

Locations

665 Camino de los Mares
Ste 106
San Clemente, CA 92673
Phone (714) 493-9344

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1427159383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3553 CAMINO MIRA COSTA",
            "address_2": "#A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723512",
            "telephone_number": "949-661-6001",
            "fax_number": "949-661-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3553 CAMINO MIRA COSTA",
            "address_2": "#A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723512",
            "telephone_number": "949-661-6001",
            "fax_number": "949-661-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTEMPORARY HEALTHCARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "ZACHARY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-661-6001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G26491 MCGEE",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G25398 ZACHARY",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHMG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.