Active NPI
Judy a. Losco, D.O.; Inc.
- Primary Care Clinic/Center
- Anaheim, CA
National Provider Identifier
1699098897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 20A7090
- Legal business name
- JUDY A. LOSCO, D.O.; INC.
- Practice address
- 500 S Anaheim Hills Rd Ste 102
Anaheim, CA 92807-4761 - Phone
- (714) 685-7785
- Fax
- (714) 685-6857
- NPI assigned
- Mar 3, 2010
- 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
- Judy A. Losco, D.O.
- Title
- Corporation Owner
- Phone
- (714) 685-7785
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 20A7090 | CA | Primary |
Addresses
Primary practice location
500 S Anaheim Hills Rd Ste 102
Anaheim, CA 92807-4761
Mailing address
PO Box 8783
Brea, CA 92822-5783
Phone (714) 685-7785
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX70900 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267574400000",
"number": "1699098897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8783",
"city": "BREA",
"state": "CA",
"postal_code": "928225783",
"telephone_number": "714-685-7785",
"fax_number": "714-685-6857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S ANAHEIM HILLS RD STE 102",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928074761",
"telephone_number": "714-685-7785",
"fax_number": "714-685-6857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUDY A. LOSCO, D.O.; INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-03",
"last_updated": "2010-03-03",
"status": "A",
"authorized_official_last_name": "LOSCO",
"authorized_official_first_name": "JUDY",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CORPORATION OWNER",
"authorized_official_telephone_number": "714-685-7785",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "20A7090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX70900",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.