Active NPI
Peter Anthony Fotinakes, M.D.
- Sleep Medicine (Internal Medicine) Physician
- Orange, CA
National Provider Identifier
1679542518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- G48227
- Practice address
- 1010 W la Veta Ave Ste 750
Orange, CA 92868-4312 - Phone
- (714) 639-9401
- NPI assigned
- Mar 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | G48227 | CA | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | G48227 | CA | Primary |
Addresses
Primary practice location
1010 W la Veta Ave Ste 750
Orange, CA 92868-4312
Mailing address
1010 W la Veta Ave Ste 750
Orange, CA 92868-4312
Phone (714) 639-9401
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG5665 | Other | CA | RAIL ROAD MEDICARE - GROUP PTAN |
| 1912919804 | Other | CA | TYPE 2 NPI |
| 1912919804 | Other | NPI - TYPE 2 | |
| 130025839 | Other | CA | RAIL ROAD MEDICARE - PROVIDER PTAN |
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 |
|---|---|---|---|
| G48227 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Consultants and Primary Care Physicians Medical Group Inc | 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.
-
- Internal Medicine Physician
- Orange, CA
- NPI 1447410519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1679542518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 W LA VETA AVE STE 750",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684312",
"telephone_number": "714-639-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 W LA VETA AVE STE 750",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684312",
"telephone_number": "714-639-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOTINAKES",
"first_name": "PETER",
"middle_name": "ANTHONY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "G48227",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "CA",
"license": "G48227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE - GROUP PTAN",
"identifier": "CG5665",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 2 NPI",
"identifier": "1912919804",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI - TYPE 2",
"identifier": "1912919804",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE - PROVIDER PTAN",
"identifier": "130025839",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.