North County Surgical Medical Group, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G230300 Issued in CA

Legal business name

NORTH COUNTY SURGICAL MEDICAL GROUP, INC

Practice address

100 E Valencia Mesa Dr
Suite 101
Fullerton, CA 92835-3813

Phone

(714) 871-9870

Fax

(714) 871-4517

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Anna M Kadletz

Title

Billing Manager

Phone

(541) 899-1245

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Kinzinger, M.D.

  • Colon & Rectal Surgery Physician
  • Fullerton, CA
  • NPI 1760554232

  Specialist

  NPD (past)
• Stephen M Wilson, M.D.

  • Surgery Physician
  • Fullerton, CA
  • NPI 1245301084

  Specialist

  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881630226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E VALENCIA MESA DR",
            "address_2": "SUITE 101",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353813",
            "telephone_number": "714-871-9870",
            "fax_number": "714-871-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E VALENCIA MESA DR",
            "address_2": "SUITE 101",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353813",
            "telephone_number": "714-871-9870",
            "fax_number": "714-871-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTY SURGICAL MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KADLETZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "541-899-1245",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G230300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Nicole Noriega
• Veronica Noriega
• Norman J Harris Mda Prof Corp
• North County Medical Transportation Inc.
• North County Regional Health Foundation
• North Orange County Community College District
• North Orange County Pediatrics Chiles Dan W Et Al Gen PTRS
• North Orange County Physical Rehabilitation, Inc
• North Orange County Sleep Clinic Medical Group Inc
• North River Palliative Care LLC

• Specialist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.