NPIMap

Organization Active NPI

Howard M Hack MD PC

  • Specialist
  • Costa Mesa, CA
National Provider Identifier
1578889762
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G68575 Issued in CA
Legal business name
HOWARD M HACK MD PC
Practice address
720 Paularino Ave
Ste. 200
Costa Mesa, CA 92626-2940
Phone
(714) 641-2640
Fax
(714) 641-2646
NPI assigned
Apr 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Dr. Howard M Hack, M.D.
Title
President
Phone
(414) 975-1255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G68575 CA Primary

Addresses

Primary practice location

720 Paularino Ave
Ste. 200
Costa Mesa, CA 92626-2940

Mailing address

720 Paularino Ave
Ste. 200
Costa Mesa, CA 92626-2940
Phone (714) 641-2640

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1578889762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 PAULARINO AVE",
            "address_2": "STE. 200",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262940",
            "telephone_number": "714-641-2640",
            "fax_number": "714-641-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 PAULARINO AVE",
            "address_2": "STE. 200",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262940",
            "telephone_number": "714-641-2640",
            "fax_number": "714-641-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD M HACK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "HACK",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-975-1255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G68575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

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