NPIMap

Organization Active NPI

Laurence M Fakinos, MD Inc

  • Obstetrics & Gynecology Physician
  • Mission Viejo, CA
National Provider Identifier
1689948234
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G67377 Issued in CA
Legal business name
LAURENCE M FAKINOS, MD INC
Practice address
27800 Medical Center Rd
Suite 260
Mission Viejo, CA 92691-6410
Phone
(949) 364-3050
Fax
(949) 364-2135
NPI assigned
Feb 29, 2012
Last updated
Feb 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Laurence M Fakinos, MDNPI 1376616250
Title
Ceo / Physician
Phone
(949) 364-3050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G67377 CA Primary

Addresses

Primary practice location

27800 Medical Center Rd
Suite 260
Mission Viejo, CA 92691-6410

Mailing address

27800 Medical Center Rd
Suite 260
Mission Viejo, CA 92691-6410
Phone (949) 364-3050

Other identifiers 1

IdentifierTypeStateIssuer
G6737700MedicaidCA

National Provider Directory

National Provider Directory

Locations

27800 Medical Center Rd
Ste 260
Mission Viejo, CA 92691
Phone (949) 364-3050

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1689948234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27800 MEDICAL CENTER RD",
            "address_2": "SUITE 260",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916410",
            "telephone_number": "949-364-3050",
            "fax_number": "949-364-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27800 MEDICAL CENTER RD",
            "address_2": "SUITE 260",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916410",
            "telephone_number": "949-364-3050",
            "fax_number": "949-364-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENCE M FAKINOS, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "FAKINOS",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO / PHYSICIAN",
        "authorized_official_telephone_number": "949-364-3050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G67377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G6737700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.