Organization Active NPI

Archway Medical Group, Inc

  • Cardiovascular Disease Physician
  • Santa Ana, CA
National Provider Identifier
1467656223
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G72410 Issued in CA
Legal business name
ARCHWAY MEDICAL GROUP, INC
Practice address
999 N Tustin Ave Ste 15
Santa Ana, CA 92705-6504
Phone
(714) 564-8287
Fax
(714) 564-0014
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Dr. N Charle Morcos, MD
Title
President
Phone
(714) 564-8287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X G72410 CA Primary

Addresses

Primary practice location

999 N Tustin Ave Ste 15
Santa Ana, CA 92705-6504

Mailing address

999 N Tustin Ave Ste 15
Santa Ana, CA 92705-6504
Phone (714) 564-8287

Other identifiers 1

IdentifierTypeStateIssuer
G72410OtherCALICENSE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1467656223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE STE 15",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056504",
            "telephone_number": "714-564-8287",
            "fax_number": "714-564-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE STE 15",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056504",
            "telephone_number": "714-564-8287",
            "fax_number": "714-564-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHWAY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "MORCOS",
        "authorized_official_first_name": "N CHARLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-564-8287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G72410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "G72410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 4, 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.