J Bradford Fisher MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G047033 Issued in CA

Legal business name

J BRADFORD FISHER MD INC

Doing business as

Body By Fisher

Practice address

17491 Bastanchury Rd
Yorba Linda, CA 92886-1801

Phone

(714) 773-9010

Fax

(714) 528-7087

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Bradford Fisher, M.D.

Title

President

Phone

(714) 773-9010

Specialties & licenses 1

Addresses

Other names 1

• Body By Fisher Doing business as

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1871679423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17491 BASTANCHURY RD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861801",
            "telephone_number": "714-773-9010",
            "fax_number": "714-528-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17491 BASTANCHURY RD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861801",
            "telephone_number": "714-773-9010",
            "fax_number": "714-528-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J BRADFORD FISHER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-773-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G047033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body By Fisher",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Interventional Gastroenterology Consultants a Medical Corporation
• Raza Iqbal, M.D.
• Nora Iskandar
• Briana Itzep
• Ana Ivanova, M.D.
• J L Rosenthal MD Inc
• Jack Kennis MD Inc
• Manera Jeszel Jackson, RN
• Michelle Christine Jackson, MSW, LCSW
• Jaclyn W. Bae, DDS Inc

• Specialist in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.