Ahura Medical Group

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

AHURA MEDICAL GROUP

Practice address

29911 Niguel Road
Unit 6429
Laguna Niguel, CA 92607-2417

Phone

(951) 523-8111

Fax

(888) 873-6220

NPI assigned

Mar 19, 2020

Last updated

Aug 17, 2021By 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

Nikan Khatibi, DO

Title

Ceo

Phone

(949) 842-9628

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1750917944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27188 SUN CITY BLVD",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925865505",
            "telephone_number": "951-523-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29911 NIGUEL ROAD",
            "address_2": "UNIT 6429",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926072417",
            "telephone_number": "951-523-8111",
            "fax_number": "888-873-6220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14390 Civic Dr",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923929709",
            "country_code": "US",
            "telephone_number": "888-873-6220",
            "fax_number": "888-873-6220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27188 Sun City Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "CA",
            "postal_code": "925865505",
            "country_code": "US",
            "telephone_number": "951-523-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AHURA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "KHATIBI",
        "authorized_official_first_name": "NIKAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-842-9628",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.