Orange County Medical Management

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A062657 Issued in CA

Legal business name

ORANGE COUNTY MEDICAL MANAGEMENT

Doing business as

Superior Pysical medicne

Practice address

22222 La Palma Ave
Yorba Linda, CA 92887-3813

Phone

(714) 692-7139

Fax

(714) 692-7141

NPI assigned

Aug 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Lawrence Shaevitz, DC

Title

President

Phone

(714) 692-7139

Specialties & licenses 1

Addresses

Other names 1

• Superior Pysical medicne Doing business as

Tax ID family

Orange County Medical Management Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Orange County Medical Management Inc

  • Non-Pharmacy Dispensing Site
  • Yorba Linda, CA
  • NPI 1801152046
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Orange County Medical Management Inc

  • Non-Pharmacy Dispensing Site
  • Yorba Linda, CA
  • NPI 1801152046
  NPPES parent name

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1457632887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22222 LA PALMA AVE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873813",
            "telephone_number": "714-692-7139",
            "fax_number": "714-692-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22222 LA PALMA AVE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873813",
            "telephone_number": "714-692-7139",
            "fax_number": "714-692-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "SHAEVITZ",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-692-7139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A062657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Pysical medicne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dean Okimoto, MD
• Old Towne Optometry, Inc.
• Mary Ann Olson, D.C.
• Khin Swe Oo, O.D
• Optimum Care
• Orange County Medical Management Inc
• Orange County Urgent Care #3, Inc.
• Orange Senior Home Inc
• Robert Kenneth Ornelas, D.C.
• Robert Dean Ortmayer, PT

• Family Medicine Physician in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.