Orange County Professional Medical Group

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

G71823 Issued in CA

Legal business name

ORANGE COUNTY PROFESSIONAL MEDICAL GROUP

Practice address

4103 N Viking Way
Suite D
Long Beach, CA 90808-1490

Phone

(714) 600-6760

Fax

(714) 935-9559

NPI assigned

Apr 28, 2017

Last updated

Apr 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Holly Sata, M.D.

Title

President

Phone

(714) 600-6760

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1457886236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 N VIKING WAY",
            "address_2": "SUITE D",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081490",
            "telephone_number": "714-600-6760",
            "fax_number": "714-935-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 N VIKING WAY",
            "address_2": "SUITE D",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081490",
            "telephone_number": "714-600-6760",
            "fax_number": "714-935-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY PROFESSIONAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "SATA",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-600-6760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "G71823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optumcare Management, LLC (Healthcare Partners - San Antonio)
• Paola Oquendo
• Nicole Oquindo
• Heidi Grace Oracion, R.D.
• Orange Community Care
• Orange County Urgent Care #3 Inc. (MedPost Urgent Care - Long Beach)
• Orange County Urgent Care #3, Inc. (MedPost - Lakewood)
• Xiomara Orantes, BCBA
• Yessica Orantes
• Ashleigh Orchard

• Multi-Specialty Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.