Organization Active NPI

Ocean Pacific Medical Corporation

  • Internal Medicine Physician
  • Laguna Beach, CA
National Provider Identifier
1821014259
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
FNP32699 Issued in CA
Legal business name
OCEAN PACIFIC MEDICAL CORPORATION
Practice address
31852 Coast Hwy
Suite 301
Laguna Beach, CA 92651-6764
Phone
(949) 218-5959
Fax
(949) 218-4949
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Dr. Joe K Wong, M.D.NPI 1063442879
Title
Ceo
Phone
(949) 218-5959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X FNP32699 CA Primary

Addresses

Primary practice location

31852 Coast Hwy
Suite 301
Laguna Beach, CA 92651-6764

Mailing address

67 S Peak
Laguna Niguel, CA 92677-2903
Phone (949) 218-5959

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1821014259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 S PEAK",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772903",
            "telephone_number": "949-218-5959",
            "fax_number": "949-218-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31852 COAST HWY",
            "address_2": "SUITE 301",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516764",
            "telephone_number": "949-218-5959",
            "fax_number": "949-218-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN PACIFIC MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-218-5959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "FNP32699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.