Active NPI
Family Medical and Occupational Clinic PC
- Family Medicine Physician
- Anaheim, CA
National Provider Identifier
1740796457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A42255
- Legal business name
- FAMILY MEDICAL AND OCCUPATIONAL CLINIC PC
- Practice address
- 1120 W la Palma Ave Ste 10
Anaheim, CA 92801-2805 - Phone
- (714) 774-0754
- Fax
- (714) 774-0119
- NPI assigned
- Dec 18, 2017
- 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
- Dr. George Fouad Youssef, MD
- Title
- President
- Phone
- (714) 328-7333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A42255 | CA | Primary |
Addresses
Primary practice location
1120 W la Palma Ave Ste 10
Anaheim, CA 92801-2805
Mailing address
1120 W la Palma Ave Ste 10
Anaheim, CA 92801-2805
Phone (714) 774-0754
Other practice location 1
534 N Palm Ave
Ontario, CA 91762-3218
Phone (909) 391-5151
National Provider Directory
National Provider DirectoryLocations
534 N Palm Ave
Ontario, CA 91762
Phone (909) 391-5151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1740796457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 W LA PALMA AVE STE 10",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012805",
"telephone_number": "714-774-0754",
"fax_number": "714-774-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 W LA PALMA AVE STE 10",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012805",
"telephone_number": "714-774-0754",
"fax_number": "714-774-0119"
}
],
"practiceLocations": [
{
"address_1": "534 N Palm Ave",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917623218",
"country_code": "US",
"telephone_number": "909-391-5151",
"fax_number": "909-391-5005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FAMILY MEDICAL AND OCCUPATIONAL CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-18",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "YOUSSEF",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "FOUAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-328-7333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A42255",
"primary": true
}
],
"identifiers": [],
"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 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.