Organization Active NPI

Family Medical and Occupational Clinic PC

  • Family Medicine Physician
  • Anaheim, CA
National Provider Identifier
1740796457
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A42255 Issued in CA
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

Updated by the provider on Mar 17, 2018

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.