Peter Jungwirth,M.D.,Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G47721 Issued in CA

Legal business name

PETER JUNGWIRTH,M.D.,INC

Practice address

15 Mareblu
Suite 350
Aliso Viejo, CA 92656-3015

Phone

(949) 495-4524

Fax

(949) 389-9800

NPI assigned

Apr 29, 2015

Organization subpart

No

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

Authorized official

Name

Peter Scott Jungwirth, M.D.

Title

Owner

Phone

(949) 495-4524

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1669859526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MAREBLU",
            "address_2": "SUITE 350",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563015",
            "telephone_number": "949-495-4524",
            "fax_number": "949-389-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAREBLU",
            "address_2": "SUITE 350",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563015",
            "telephone_number": "949-495-4524",
            "fax_number": "949-389-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER JUNGWIRTH,M.D.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "JUNGWIRTH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-495-4524",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G47721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sajit J Patel, DMD
• David Christian Peirce, PHD
• Frederick Perez, RN, CEN, NP-C
• Personalized Medicine, Inc. a California Professional Medical Co
• Apirada Petchpud, DDS
• Phaite Behavioral Health Care Services
• Elise Pham, DMD
• Peter Minh Phan, MD
• Sarah Kim Phan
• Phoenix Rising Behavioral Health Care Services, LLC

• Primary Care Clinic/Center in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.