Organization Active NPI

Ian Bare MD, Inc.

  • Family Medicine Physician
  • Orange, CA
National Provider Identifier
1861643215
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A80711 Issued in CA
Legal business name
IAN BARE MD, INC.
Practice address
805 W la Veta Ave
Suite 103
Orange, CA 92868-3901
Phone
(714) 997-8911
Fax
(714) 997-4911
NPI assigned
Oct 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Dr. Ian Bare, MD
Title
Owner
Phone
(714) 997-8911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A80711 CA Primary

Addresses

Primary practice location

805 W la Veta Ave
Suite 103
Orange, CA 92868-3901

Mailing address

PO Box 2365
Mission Viejo, CA 92690-0365
Phone (714) 997-8911

National Provider Directory

National Provider Directory

Locations

805 W La Veta Ave
Ste 103
Orange, CA 92868
Phone (714) 771-7766

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": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1861643215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2365",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926900365",
            "telephone_number": "714-997-8911",
            "fax_number": "714-997-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W LA VETA AVE",
            "address_2": "SUITE 103",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683901",
            "telephone_number": "714-997-8911",
            "fax_number": "714-997-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN BARE MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "BARE",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-997-8911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A80711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.