Active NPI
Oc Rheumatology
- Rheumatology Physician
- Laguna Hills, CA
National Provider Identifier
1689067985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- A62644
- Legal business name
- OC RHEUMATOLOGY
- Practice address
- 25401 Cabot Rd Ste 101
Laguna Hills, CA 92653-5513 - Phone
- (949) 335-7993
- NPI assigned
- Mar 11, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gayle Kookootsedes
- Title
- President
- Phone
- (949) 335-7993
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | A62644 | CA | Primary |
Addresses
Primary practice location
25401 Cabot Rd Ste 101
Laguna Hills, CA 92653-5513
Mailing address
25401 Cabot Rd Ste 101
Laguna Hills, CA 92653-5513
Phone (949) 335-7993
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426032000000",
"number": "1689067985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25401 CABOT RD STE 101",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926535513",
"telephone_number": "949-335-7993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25401 CABOT RD STE 101",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926535513",
"telephone_number": "949-335-7993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OC RHEUMATOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-11",
"last_updated": "2015-03-11",
"status": "A",
"authorized_official_last_name": "KOOKOOTSEDES",
"authorized_official_first_name": "GAYLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-335-7993"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "A62644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
- Rebecca Obrien
- Oc Care Transportation LLC
- Oc Family & Industrial Practice
- Oc Paratransit, Inc.
- Oc Renewal Therapy Center LLC
- Tammy Occhipinti, MFT
- Occupational Health Centers of California, a Medical Corporation
- Ocean Breeze Behavioral Therapy Inc
- Ocean Medical Products Inc
- Oceans for Individual, Marriage and Family Counseling Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.