Associated Head & Neck Surgeons of Greater Orange County Inc.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ASSOCIATED HEAD & NECK SURGEONS OF GREATER ORANGE COUNTY INC.

Practice address

1950 Sunnycrest Dr Ste 3800
Fullerton, CA 92835-3647

Phone

(714) 447-4100

Fax

(714) 447-1923

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca Jansen I

Title

Billing Manager

Phone

(714) 447-4100

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1477684652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 N HARBOR BLVD STE 200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352635",
            "telephone_number": "714-447-4100",
            "fax_number": "714-447-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SUNNYCREST DR STE 3800",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353647",
            "telephone_number": "714-447-4100",
            "fax_number": "714-447-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED HEAD & NECK SURGEONS OF GREATER ORANGE COUNTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "JANSEN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "714-447-4100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0058670",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS4872",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.