Organization Active NPI

Joseph N. Gregurich, M.D.

  • Family Medicine Physician
  • Fountain Valley, CA
National Provider Identifier
1578656195
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G20621 Issued in CA
Legal business name
JOSEPH N. GREGURICH, M.D.
Practice address
11100 Warner Ave
#112
Fountain Valley, CA 92708-7506
Phone
(714) 556-8320
Fax
(714) 556-5417
NPI assigned
Oct 2, 2006
Last updated
Dec 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Dr. Joseph N. Gregurich, M.D.NPI 1154416279
Title
Owner
Phone
(714) 556-8320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G20621 CA Primary

Addresses

Primary practice location

11100 Warner Ave
#112
Fountain Valley, CA 92708-7506

Mailing address

11100 Warner Ave
#112
Fountain Valley, CA 92708-7506
Phone (714) 556-8320

National Provider Directory

National Provider Directory

Locations

11100 Warner Ave
Ste 112
Fountain Valley, CA 92708
Phone (714) 556-8320

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1578656195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE",
            "address_2": "#112",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087506",
            "telephone_number": "714-556-8320",
            "fax_number": "714-556-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE",
            "address_2": "#112",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087506",
            "telephone_number": "714-556-8320",
            "fax_number": "714-556-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH N. GREGURICH, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "GREGURICH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-556-8320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G20621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.