Organization Active NPI

Bret K. Batchelor MD a Professional Corporation

  • Surgery Physician
  • Fountain Valley, CA
National Provider Identifier
1679696728
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A55375 Issued in CA
Legal business name
BRET K. BATCHELOR MD A PROFESSIONAL CORPORATION
Doing business as
BRET K. BATCHELOR MD A PROFESSIONAL CORPORATION
Practice address
11160 Warner Ave
Suite 311
Fountain Valley, CA 92708-4008
Phone
(714) 850-7300
Fax
(714) 957-7348
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Bret Kenneth Batchelor, M.D.
Title
President
Phone
(714) 850-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X A55375 CA Primary

Addresses

Primary practice location

11160 Warner Ave
Suite 311
Fountain Valley, CA 92708-4008

Mailing address

11160 Warner Ave
Suite 311
Fountain Valley, CA 92708-4008
Phone (714) 850-7300

Other identifiers 1

IdentifierTypeStateIssuer
A55375OtherCAMEDICAL LICENSE

Other names 1

  • BRET K. BATCHELOR MD A PROFESSIONAL CORPORATION Doing business as

National Provider Directory

National Provider Directory

Locations

11160 Warner Ave
Fountain Vly, CA 92708
Phone (714) 751-7002

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1679696728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE",
            "address_2": "SUITE 311",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084008",
            "telephone_number": "714-850-7300",
            "fax_number": "714-957-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE",
            "address_2": "SUITE 311",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084008",
            "telephone_number": "714-850-7300",
            "fax_number": "714-957-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRET K. BATCHELOR MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "BATCHELOR",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-850-7300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A55375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A55375",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRET K. BATCHELOR MD A PROFESSIONAL CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 24, 2009; 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.