Memorial Prompt Care Medical Group, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G34787 Issued in CA

Legal business name

MEMORIAL PROMPT CARE MEDICAL GROUP, INC.

Practice address

9122 Adams Ave
Huntington Beach, CA 92646-3405

Phone

(714) 312-0900

Fax

(714) 378-5166

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jamie Barton Lewis, M.D.

Title

Executive Director

Phone

(714) 378-0900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780799494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9122 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463405",
            "telephone_number": "714-312-0900",
            "fax_number": "714-378-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9122 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463405",
            "telephone_number": "714-312-0900",
            "fax_number": "714-378-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL PROMPT CARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "BARTON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-378-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G34787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arbi Melikian, O.D.
• Jesse S Mellema
• Shereen Memarian, PA-C
• Memorial Pediatrics
• Memorial Prompt Care Medical Group, Inc.
• Joshua Mena
• Natali Mendez
• Tiffany Nicole Mendez, BCBA
• Trace Mendez
• Mending Minds Behavioral Health Inc.

• Specialist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.