Organization Active NPI

Pulmonary Consultants & PCP Medical Group, Inc

  • Neurology Physician
  • Orange, CA
National Provider Identifier
1609071315
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A84845 Issued in CA
Legal business name
PULMONARY CONSULTANTS & PCP MEDICAL GROUP, INC
Practice address
1310 W Stewart Dr
Suite 410
Orange, CA 92868-3854
Phone
(714) 639-9401
Fax
(714) 639-4105
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Claire Biggins
Title
Ceo
Phone
(949) 748-6123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X A84845 CA Primary

Addresses

Primary practice location

1310 W Stewart Dr
Suite 410
Orange, CA 92868-3854

Mailing address

1310 W Stewart Dr
Suite 410
Orange, CA 92868-3854
Phone (714) 639-9401

Other identifiers 1

IdentifierTypeStateIssuer
A84845OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609071315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR",
            "address_2": "SUITE 410",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683854",
            "telephone_number": "714-639-9401",
            "fax_number": "714-639-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR",
            "address_2": "SUITE 410",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683854",
            "telephone_number": "714-639-9401",
            "fax_number": "714-639-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY CONSULTANTS & PCP MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIGGINS",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-748-6123"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A84845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A84845",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.