NPIMap

Organization Active NPI

Mothers and Daughters Center, Inc.

  • Specialist
  • Costa Mesa, CA
National Provider Identifier
1851448757
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MOTHERS AND DAUGHTERS CENTER, INC.
Practice address
720 Paularino Avenue
Suite 240
Costa Mesa, CA 92626-6290
Phone
(714) 547-7575
Fax
(714) 547-8881
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Kathy Mirzabozorg Anderson, MD
Title
President
Phone
(714) 547-7575

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G78317 CA
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X CA Primary

Addresses

Primary practice location

720 Paularino Avenue
Suite 240
Costa Mesa, CA 92626-6290

Mailing address

720 Paularino Avenue
Suite 240
Costa Mesa, CA 92626-6290
Phone (714) 547-7575

Other names 1

  • Mothers and Daughters Center Doing business as

National Provider Directory

National Provider Directory

Locations

720 Paularino Ave
Ste 240
Costa Mesa, CA 92626
Phone (714) 547-7575

Practitioners & affiliated clinicians

Practitioners 5

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1851448757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 PAULARINO AVENUE",
            "address_2": "SUITE 240",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266290",
            "telephone_number": "714-547-7575",
            "fax_number": "714-547-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 PAULARINO AVENUE",
            "address_2": "SUITE 240",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266290",
            "telephone_number": "714-547-7575",
            "fax_number": "714-547-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHERS AND DAUGHTERS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "MIRZABOZORG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-547-7575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G78317",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mothers and Daughters Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.