Organization Active NPI

Negin Behazin MD, a Med Corp

  • General Practice Physician
  • Garden Grove, CA
National Provider Identifier
1538529185
Registry record updated Apr 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A131359 Issued in CA
Legal business name
NEGIN BEHAZIN MD, A MED CORP
Practice address
12665 Garden Grove Blvd
Suite 710
Garden Grove, CA 92843-1901
Phone
(617) 281-9900
NPI assigned
Feb 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2016

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

Authorized official

Name
Negin Behazin, MD
Title
President
Phone
(409) 234-2964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A131359 CA Primary

Addresses

Primary practice location

12665 Garden Grove Blvd
Suite 710
Garden Grove, CA 92843-1901

Mailing address

360 Freeman Ave
Apt 14
Long Beach, CA 90814-2406
Phone (409) 234-2946

National Provider Directory

National Provider Directory

Locations

12665 Garden Grove Blvd
Ste 710
Garden Grove, CA 92843
Phone (617) 281-9900

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460160000000",
    "number": "1538529185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 FREEMAN AVE",
            "address_2": "APT 14",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908142406",
            "telephone_number": "409-234-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD",
            "address_2": "SUITE 710",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431901",
            "telephone_number": "617-281-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEGIN BEHAZIN MD, A MED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-04-09",
        "status": "A",
        "authorized_official_last_name": "BEHAZIN",
        "authorized_official_first_name": "NEGIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-234-2964",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A131359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2016; 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.