Avalon Medical Associates Incorporated

Primary specialty

SpecialistTaxonomy code 174400000X

License

A41718 Issued in CA

Legal business name

AVALON MEDICAL ASSOCIATES INCORPORATED

Practice address

332 Old Newport Blvd
2ND Floor
Newport Beach, CA 92663-4149

Phone

(949) 574-9547

Fax

(949) 574-9523

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Xavier Montano, MD

Title

President

Phone

(949) 574-9547

Specialties & licenses 1

Addresses

Other names 1

• Family Healing Center Doing business as

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1821208992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 OLD NEWPORT BLVD",
            "address_2": "2ND FLOOR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634149",
            "telephone_number": "949-574-9547",
            "fax_number": "949-574-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 OLD NEWPORT BLVD",
            "address_2": "2ND FLOOR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634149",
            "telephone_number": "949-574-9547",
            "fax_number": "949-574-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON MEDICAL ASSOCIATES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "MONTANO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "XAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-574-9547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A41718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.