Orange Coast Family Medical Group Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A5021 Issued in CA

Legal business name

ORANGE COAST FAMILY MEDICAL GROUP INC.

Practice address

15785 Laguna Canyon Rd
Suite 390
Irvine, CA 92618-3165

Phone

(949) 333-2999

Fax

(949) 387-2002

NPI assigned

Feb 17, 2011

Last updated

Mar 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Williams Jr., D.O.NPI 1174541288

Title

President

Phone

(949) 333-2999

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Lloyd Williams Jr., D.O.

  • Family Medicine Physician
  • Irvine, CA
  • NPI 1174541288
  NPD (past) Authorized official
• Cindy Williams, P.A.

  • Surgical Physician Assistant
  • Irvine, CA
  • NPI 1144500968
  NPD (past)

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1679870265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15785 LAGUNA CANYON RD",
            "address_2": "SUITE 390",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183165",
            "telephone_number": "949-333-2999",
            "fax_number": "949-387-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15785 LAGUNA CANYON RD",
            "address_2": "SUITE 390",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183165",
            "telephone_number": "949-333-2999",
            "fax_number": "949-387-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COAST FAMILY MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-333-2999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optimum Podiatry Services
• Optimum Podiatry Services Inc
• Optimus Spine Center Corp (Optimus Chiropractic)
• Optimus West LLC
• Optumrx
• Orange Coast Head and Neck Surgery
• Orange Coast Laser Vision Center, Inc.
• Orange County Comprehensive Psychological Services, Inc
• Orange County Digestive Center, Inc
• Orange County Ear, Nose & Throat

• Family Medicine Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.