NPIMap

Organization Active NPI

Obria Medical Clinics of Southern California, Inc.

  • Community Health Clinic/Center
  • Long Beach, CA
National Provider Identifier
1720109341
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
550000003 Issued in CA
Legal business name
OBRIA MEDICAL CLINICS OF SOUTHERN CALIFORNIA, INC.
Practice address
261 E Willow St
Suite C
Long Beach, CA 90806-2637
Phone
(562) 735-6131
Fax
(562) 290-0251
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Mauricio Leone
Title
Chief Operations Officer
Phone
(949) 273-6217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 550000003 CA Primary

Addresses

Primary practice location

261 E Willow St
Suite C
Long Beach, CA 90806-2637

Mailing address

1200 Main St
Suite C
Irvine, CA 92614-6749
Phone (949) 916-8868

Other names 1

  • Birth Choice Pregnancy Centers, Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Birth Choice Health Clinics12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

261 E Willow St
Ste C
Long Beach, CA 90806
Phone (562) 290-0212

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1720109341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MAIN ST",
            "address_2": "SUITE C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146749",
            "telephone_number": "949-916-8868",
            "fax_number": "949-273-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 E WILLOW ST",
            "address_2": "SUITE C",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062637",
            "telephone_number": "562-735-6131",
            "fax_number": "562-290-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBRIA MEDICAL CLINICS OF SOUTHERN CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "LEONE",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "949-273-6217"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "550000003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birth Choice Pregnancy Centers, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.