Organization Active NPI

MCL Health Management

  • Specialist
  • Orange, CA
National Provider Identifier
1871649491
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A33713 Issued in CA
Legal business name
MCL HEALTH MANAGEMENT
Practice address
1310 W Stewart Dr
Ste. 507
Orange, CA 92868-3854
Phone
(714) 547-4070
Fax
(714) 751-4619
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Mr. Michael C Luciano, M.D.
Title
President
Phone
(714) 547-4070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A33713 CA Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X PSY4309 CA

Addresses

Primary practice location

1310 W Stewart Dr
Ste. 507
Orange, CA 92868-3854

Mailing address

P.O. Box 10340
Santa Ana, CA 92711-0340
Phone (714) 547-4070

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1871649491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 10340",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927110340",
            "telephone_number": "714-547-4070",
            "fax_number": "714-751-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR",
            "address_2": "STE. 507",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683854",
            "telephone_number": "714-547-4070",
            "fax_number": "714-751-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCL HEALTH MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "LUCIANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-547-4070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A33713",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "PSY4309",
            "primary": false
        }
    ],
    "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 Feb 2, 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.