John J. Ursino, MD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

40739 Issued in CA

Legal business name

JOHN J. URSINO, MD INC

Practice address

1401 N Tustin Ave
Suite 300
Santa Ana, CA 92705-8644

Phone

(714) 547-3900

Fax

(714) 547-3903

NPI assigned

Jun 3, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Jane A Kircher, CONTRACT

Title

Specialist

Phone

(951) 683-2324

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1528294642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 S WEIR CANYON RD",
            "address_2": "PMB 482",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081962",
            "telephone_number": "714-547-3900",
            "fax_number": "714-547-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N TUSTIN AVE",
            "address_2": "SUITE 300",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058644",
            "telephone_number": "714-547-3900",
            "fax_number": "714-547-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J. URSINO, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "KIRCHER",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SPECIALIST",
        "authorized_official_telephone_number": "951-683-2324",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CONTRACT"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "40739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "40739",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.