Concentra Primary Care of California

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CONCENTRA PRIMARY CARE OF CALIFORNIA

Practice address

800 N Tustin Ave Ste a
Santa Ana, CA 92705-3605

Phone

(714) 245-0800

Fax

(714) 285-0400

NPI assigned

Oct 22, 2018

Organization subpart

No

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

Authorized official

Name

John Anderson

Title

VP

Phone

(972) 364-8000

Specialties & licenses 3

Addresses

Tax ID family

Concentra Primary Care of California3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Concentra Primary Care of California

  • Primary Care Clinic/Center
  • Camarillo, CA
  • NPI 1689140261
  NPD tax ID
• Concentra Primary Care of California, a Medical Corporation

  • Primary Care Clinic/Center
  • Chino, CA
  • NPI 1073230900
  NPD tax ID

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1760958367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR STE 1200W",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N TUSTIN AVE STE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053605",
            "telephone_number": "714-245-0800",
            "fax_number": "714-285-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRA PRIMARY CARE OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "972-364-8000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "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": []
}

• Angel Davin Comparan
• Compassus Op of California LLC
• Complete Family Therapy, Inc.
• Complete Medical Management
• Kathryn Elizabeth Comstock
• Janny Condie, MS
• Kiah Aynn Condos
• Roberta Cone
• Caryn Nicole Congdon
• Melissa Conkie

• Primary Care Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, 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 Oct 22, 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.