Organization Active NPI

Oc Rheumatology

  • Rheumatology Physician
  • Laguna Hills, CA
National Provider Identifier
1689067985
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A62644 Issued in CA
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

Updated by the provider on Mar 11, 2015

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)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.