Organization Active NPI

PCRC Inc

  • Ophthalmology Physician
  • Santa Ana, CA
National Provider Identifier
1740495951
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PCRC INC
Practice address
1401 N Tustin Ave Ste 220
Santa Ana, CA 92705-8689
Phone
(714) 543-6020
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brent Norman, MD
Title
Treasurer
Phone
(949) 722-3980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1401 N Tustin Ave Ste 220
Santa Ana, CA 92705-8689

Mailing address

1401 N Tustin Ave Ste 220
Santa Ana, CA 92705-8689
Phone (714) 543-6020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740495951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N TUSTIN AVE STE 220",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058689",
            "telephone_number": "714-543-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N TUSTIN AVE STE 220",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058689",
            "telephone_number": "714-543-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCRC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-722-3980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.