Active NPI
Brea Family Care a Medical Corporation
Doing business as Brea Family Care
- Non-Pharmacy Dispensing Site
- Brea, CA
National Provider Identifier
1457601890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- A60060
- Legal business name
- BREA FAMILY CARE A MEDICAL CORPORATION
- Doing business as
- Brea Family Care
- Practice address
- 400 W Central Ave
106
Brea, CA 92821 - Phone
- (714) 990-1882
- NPI assigned
- Sep 13, 2012
- Last updated
- Oct 23, 2012
- Organization subpart
- Yes
- Parent organization
- MEDVANTX INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenny Heine
- Title
- VP Ops
- Phone
- (858) 964-1506
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | A60060 | CA | Primary |
Addresses
Primary practice location
400 W Central Ave
106
Brea, CA 92821
Mailing address
5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705
Other names 1
- BREA FAMILY CARE
National Provider Directory
National Provider Directory- Tax ID family
- Brea Family Care
- Part of
- Medvantx Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Placentia, CA
- NPI 1841298106
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Placentia, CA
- NPI 1568682771
-
- Family Medicine Physician
- Placentia, CA
- NPI 1831319045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350950400000",
"number": "1457601890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5626 OBERLIN DR",
"address_2": "SUITE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W CENTRAL AVE",
"address_2": "106",
"city": "BREA",
"state": "CA",
"postal_code": "92821",
"telephone_number": "714-990-1882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREA FAMILY CARE A MEDICAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDVANTX INC",
"enumeration_date": "2012-09-13",
"last_updated": "2012-10-23",
"status": "A",
"authorized_official_last_name": "HEINE",
"authorized_official_first_name": "KENNY",
"authorized_official_title_or_position": "VP OPS",
"authorized_official_telephone_number": "858-964-1506"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "CA",
"license": "A60060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BREA FAMILY CARE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Brea, CA
- Surinder Kaur Brar, D.D.S
- Brea Brea LLC (Emeritus at Brea)
- Brea Brea LLC (Brookdale Brea)
- Brea Children's Dental Office, Agnes S Mondejar, DDS, Inc. (Brea Children's Dental)
- Brea Diagnostic Cardiac Imaging
- Brea Hills Recovery LLC
- Brea Hospice Inc
- Brea Olinda Counseling Center
- Brea Optometry
- Brea Surgical Center, a Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.