Bristol Plaza Family Medicine, a Professional Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRISTOL PLAZA FAMILY MEDICINE, A PROFESSIONAL MEDICAL CORPORATION

Practice address

3743 So Plaza Drive
Santa Ana, CA 92704

Phone

(714) 332-1800

NPI assigned

Aug 29, 2014

Organization subpart

No

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

Authorized official

Name

John Molina, DONPI 1770547523

Title

President

Phone

(714) 332-1800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bristol Plaza Family Medicine Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• John M Molina, DO

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1770547523
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1598165201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 PALMYRITA AVENUE, SUITE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92507",
            "telephone_number": "951-784-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3743 SO PLAZA DRIVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92704",
            "telephone_number": "714-332-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL PLAZA FAMILY MEDICINE, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-332-1800",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20A7903",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Plaza Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Bristol Park Medical Group, Inc.
• Bristol Physical Therapy & Sports Medicine Center
• Alma Brito
• Bianca Brito, LCSW
• Eva Brito
• Giovanna Brito
• Brito'S Transportation, Inc

• Family Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.