Brian J W Boyd M.D., Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G59654 Issued in CA

Legal business name

BRIAN J W BOYD M.D., INC.

Practice address

1140 W la Veta Ave Ste 410
Orange, CA 92868-4226

Phone

(714) 285-0615

Fax

(714) 285-0619

NPI assigned

Sep 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Brian JW Boyd, M.D.

Title

Owner

Phone

(714) 285-0615

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1841507282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 410",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684226",
            "telephone_number": "714-285-0615",
            "fax_number": "714-285-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 410",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684226",
            "telephone_number": "714-285-0615",
            "fax_number": "714-285-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN J W BOYD M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-285-0615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G59654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND-NPI",
            "identifier": "1932242302",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G59654",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lesly Esmeralda Bretado
• Brett Dinovi & Associates California
• Joseph Allan Breuer, MD
• Breauna Brewer
• Elaine Margaret Brewster, MA CCC-SLP
• Brian Lin DDS a Professional Dental Corporation
• Brian Norouzi, MD, Medical Corporation
• Angelica Bribiesca
• Leslie N Bribiesca
• Naomi Bribiesca

• Medical Specialty Clinic/Center in Orange, CA
• Providers in Orange, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.