Organization Active NPI

Brea Family Care, a Medical Corporation

  • Family Medicine Physician
  • Placentia, CA
National Provider Identifier
1841298106
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A60881 Issued in CA
Legal business name
BREA FAMILY CARE, A MEDICAL CORPORATION
Practice address
1275 N Rose Dr
Ste 130
Placentia, CA 92870-3941
Phone
(714) 990-1882
Fax
(714) 990-0826
NPI assigned
Jul 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Dr. Rasha Soliman, M. D.NPI 1831319045
Title
Doctor - Family Practice
Phone
(714) 990-1882

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A60881 CA Primary

Addresses

Primary practice location

1275 N Rose Dr
Ste 130
Placentia, CA 92870-3941

Mailing address

1275 N Rose Dr
Ste 130
Placentia, CA 92870-3941
Phone (714) 990-1882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040806001070 CA Part B Supplier - Clinic/Group Practice 5799757126 Receives reassigned benefits from 2 practitioners
Practice locations: Placentia, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0575894Brea Family Care1275 N Rose Dr #130, Placentia, CA 92870Certificate of waiverOct 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Brea Family Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1275 N Rose Dr
Ste 130
Placentia, CA 92870
Phone (714) 524-3800

Practitioners & affiliated clinicians

Practitioners 2

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": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1841298106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 N ROSE DR",
            "address_2": "STE 130",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703941",
            "telephone_number": "714-990-1882",
            "fax_number": "714-990-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 N ROSE DR",
            "address_2": "STE 130",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703941",
            "telephone_number": "714-990-1882",
            "fax_number": "714-990-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREA FAMILY CARE, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "SOLIMAN",
        "authorized_official_first_name": "RASHA",
        "authorized_official_title_or_position": "DOCTOR -  FAMILY PRACTICE",
        "authorized_official_telephone_number": "714-990-1882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A60881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.