Nationwide Healthcare Provider Corp

Primary specialty

Independent Medical Examiner PhysicianTaxonomy code 202C00000X

Legal business name

NATIONWIDE HEALTHCARE PROVIDER CORP

Practice address

20505 Crescent Bay Dr
Lake Forest, CA 92630-8825

Phone

(949) 505-4313

NPI assigned

Sep 12, 2024

Organization subpart

No

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

Authorized official

Name

Ryan Hilton

Title

Owner

Phone

(305) 332-0669

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1700612900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20505 CRESCENT BAY DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20505 CRESCENT BAY DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308825",
            "telephone_number": "949-505-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONWIDE HEALTHCARE PROVIDER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "HILTON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-332-0669"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Independent Medical Examiner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Independent Medical Examiner Physician in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Independent Medical Examiner Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.