Fullerton GYN Assoc.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

G5122 Issued in CA

Legal business name

FULLERTON GYN ASSOC.

Practice address

301 W Bastanchury Rd
#170
Fullerton, CA 92835-3419

Phone

(714) 879-6571

Fax

(714) 446-9140

NPI assigned

Dec 1, 2006

Last updated

Apr 12, 2011By 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

Dr. Nathan E Scott, MD

Title

Owner- Ceo

Phone

(714) 879-6571

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Milton Longnecker, D.O.

  • Pediatrics Physician
  • Placentia, CA
  • NPI 1326049263
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1780752659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W BASTANCHURY RD",
            "address_2": "#170",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353419",
            "telephone_number": "714-879-6571",
            "fax_number": "714-446-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W BASTANCHURY RD",
            "address_2": "#170",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353419",
            "telephone_number": "714-879-6571",
            "fax_number": "714-446-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLERTON GYN ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER- CEO",
        "authorized_official_telephone_number": "714-879-6571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G5122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LISENCE",
            "identifier": "G5122",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Fullerton Joint Uhsd
• Fullerton Medical Pharmacy Inc
• Fullerton Orthopaedic Surgery Medical Group, Inc.

• Gynecology Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.