Integrative Medical Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A53229 Issued in CA

Legal business name

INTEGRATIVE MEDICAL CENTER

Practice address

526 W 17TH St
Santa Ana, CA 92706-3619

Phone

(714) 558-9355

Fax

(714) 558-0870

NPI assigned

Mar 18, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Hale

Title

Administrator

Phone

(714) 558-9355

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Integrative Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Integrative Medical Center

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1215030747
  NPD tax ID

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1609017805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 W 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063619",
            "telephone_number": "714-558-9355",
            "fax_number": "714-558-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 W 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063619",
            "telephone_number": "714-558-9355",
            "fax_number": "714-558-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-558-9355",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A53229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336275981",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Insight Health Corp
• Integrated DME, LLC
• Integrated Laboratory I, LLC
• Integrated PT & Wellness
• Integrative Medical Center
• Integrative Wellness Medical Group, Inc
• Integrity Counseling, Inc.
• Intergro Resources, Inc
• Internal Wellness Medical Center, Inc.
• Intimate Image #2, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.