Active NPI
Alton P Foran IV
- Internal Medicine Physician
- Fountain Valley, CA
National Provider Identifier
1619968799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A47805
- Practice address
- 11420 Warner Ave
Fountain Valley, CA 92708-2529 - Phone
- (714) 549-1300
- Fax
- (714) 433-3100
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A47805 | CA | Primary |
Addresses
Primary practice location
11420 Warner Ave
Fountain Valley, CA 92708-2529
Mailing address
2742 Dow Ave
Tustin, CA 92780-7242
Phone (714) 665-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A478050 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A47805 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Park Medical Group, Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1043266760
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301529600000",
"number": "1619968799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2742 DOW AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927807242",
"telephone_number": "714-665-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11420 WARNER AVE",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927082529",
"telephone_number": "714-549-1300",
"fax_number": "714-433-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORAN",
"first_name": "ALTON",
"middle_name": "P",
"name_prefix": "Dr.",
"name_suffix": "IV",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2011-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A47805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A478050",
"state": "CA"
}
],
"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 Mar 31, 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.