Organization Active NPI

Marilyn G. Myers, M.D., Apc

  • Specialist
  • Santa Ana, CA
National Provider Identifier
1639485543
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C23521 Issued in CA
Legal business name
MARILYN G. MYERS, M.D., APC
Practice address
2220 E Fruit St Ste 217
Santa Ana, CA 92701-4459
Phone
(714) 541-3393
Fax
(714) 541-8830
NPI assigned
Aug 30, 2010
Last updated
Oct 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Dr. Marilyn G Myers, M.D.
Title
Owner
Phone
(714) 541-3393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X C23521 CA Primary

Addresses

Primary practice location

2220 E Fruit St Ste 217
Santa Ana, CA 92701-4459

Mailing address

2220 E Fruit St Ste 217
Santa Ana, CA 92701-4459
Phone (714) 541-3393

Other identifiers 1

IdentifierTypeStateIssuer
00C235210MedicaidCA

National Provider Directory

National Provider Directory

Locations

2220 E Fruit St
Ste 217
Santa Ana, CA 92701
Phone (714) 541-3393

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1639485543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 E FRUIT ST STE 217",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014459",
            "telephone_number": "714-541-3393",
            "fax_number": "714-541-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E FRUIT ST STE 217",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014459",
            "telephone_number": "714-541-3393",
            "fax_number": "714-541-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN G. MYERS, M.D., APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-541-3393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C23521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C235210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.