Medipath Health Care Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A5769 Issued in CA

Legal business name

MEDIPATH HEALTH CARE INC

Practice address

1325 N Rose Dr
Suite 201
Placentia, CA 92870-3840

Phone

(310) 348-0500

NPI assigned

Apr 29, 2008

Last updated

Sep 10, 2013By 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

Edward S Drake, D.O.NPI 1629132592

Title

President

Phone

(310) 348-5500

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Edward S. Drake, D.O.

  • Family Medicine Physician
  • Placentia, CA
  • NPI 1629132592
  NPD (past) Authorized official
• Ker-Chow Chang, M.D.

  • Family Medicine Physician
  • La Habra, CA
  • NPI 1346333648
  NPD (past)

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1790950905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N ROSE DR",
            "address_2": "SUITE 201",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703840",
            "telephone_number": "310-348-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N ROSE DR",
            "address_2": "SUITE 201",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703840",
            "telephone_number": "310-348-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIPATH HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-348-5500",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya McPeters, LMFT
• Mda Medical Group Inc
• Sophia Meave
• Alyssa Mecozzi
• Eileen Medina, M.S., CCC-SLP
• Sarah Megally
• Yassaman M Mehrtash, P.T.
• Christine Diane Mejia, MA, CCC-SLP
• Caron Ivy Mellblom, M.S.
• Barbara Melroy

• Family Medicine Physician in Placentia, CA
• Providers in Placentia, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.