Organization Active NPI

Bariatric Care Center, LLC

  • Surgery Physician
  • Orange, CA
National Provider Identifier
1780960567
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A78248 Issued in CA
Legal business name
BARIATRIC CARE CENTER, LLC
Practice address
1140 W la Veta Ave Ste 760
Orange, CA 92868-4229
Phone
(714) 541-4343
NPI assigned
Oct 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Eric H Pham, MD
Title
Vice President
Phone
(714) 541-4343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X A78248 CA Primary

Addresses

Primary practice location

1140 W la Veta Ave Ste 760
Orange, CA 92868-4229

Mailing address

1140 W la Veta Ave Ste 760
Orange, CA 92868-4229
Phone (714) 541-4343

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1780960567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 760",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684229",
            "telephone_number": "714-541-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 760",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684229",
            "telephone_number": "714-541-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARIATRIC CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "714-541-4343",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A78248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.