Organization Active NPI

Essential Diagnostics

  • Physiological Laboratory
  • Santa Ana, CA
National Provider Identifier
1457624611
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
28028 Issued in CA
Legal business name
ESSENTIAL DIAGNOSTICS
Doing business as
EDX
Practice address
1800 N Bristol St
Suite C614
Santa Ana, CA 92706-3336
Phone
(714) 543-1414
Fax
(714) 285-1414
NPI assigned
Feb 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Dr. Amir Aghlara, DC
Title
Doctor
Phone
(714) 543-1414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X 28028 CA Primary

Addresses

Primary practice location

1800 N Bristol St
Suite C614
Santa Ana, CA 92706-3336

Mailing address

1800 N Bristol St
Suite C614
Santa Ana, CA 92706-3336
Phone (714) 543-1414

Other names 1

  • EDX Doing business as

National Provider Directory

National Provider Directory

Locations

1800 N Bristol St
Ste C614
Santa Ana, CA 92706
Phone (714) 543-1414

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1457624611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N BRISTOL ST",
            "address_2": "SUITE C614",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063336",
            "telephone_number": "714-543-1414",
            "fax_number": "714-285-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N BRISTOL ST",
            "address_2": "SUITE C614",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063336",
            "telephone_number": "714-543-1414",
            "fax_number": "714-285-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "AGHLARA",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "714-543-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "CA",
            "license": "28028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 15, 2015; 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.