Houston Physicians Ipa PLLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

HOUSTON PHYSICIANS IPA PLLC

Doing business as

Houston Physicians Ipa PLLC

Practice address

6 Veranda
Newport Coast, CA 92657-1632

Phone

(818) 399-8996

NPI assigned

Nov 1, 2022

Last updated

Nov 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lan Nhu Bich Phan, MPH

Title

Administrator

Phone

(818) 399-8996

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HOUSTON PHYSICIANS IPA PLLC Doing business as

Electronic endpoints 3

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1740997592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 VERANDA",
            "city": "NEWPORT COAST",
            "state": "CA",
            "postal_code": "926571632",
            "telephone_number": "818-399-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 VERANDA",
            "city": "NEWPORT COAST",
            "state": "CA",
            "postal_code": "926571632",
            "telephone_number": "818-399-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON PHYSICIANS IPA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "LAN",
        "authorized_official_middle_name": "NHU BICH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-399-8996",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS SECRETARY OF STATE CERTIFICATE OF FORMATION OF PLLC",
            "identifier": "1143333600002",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.MSOSOCAL.COM",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "GATHER INFORMATION ABOUT MSO",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "DESCRIPTION OF MSO",
            "address_1": "6 Veranda",
            "city": "Newport Coast",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926571632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.MSOSOCAL.COM",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "GATHER INFORMATION ABOUT MSO",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "DESCRIPTION OF MSO",
            "address_1": "6 Veranda",
            "city": "Newport Coast",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926571632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.msosocal.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6 Veranda",
            "city": "Newport Coast",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926571632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HOUSTON PHYSICIANS IPA PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Exclusive Provider Organization in Newport Coast, CA
• Providers in Newport Coast, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.