Organization Active NPI

Geridocs Medical Group,Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Santa Ana, CA
National Provider Identifier
1881793362
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A36505 Issued in CA
Legal business name
GERIDOCS MEDICAL GROUP,INC
Practice address
2621 S Bristol St Ste 203
Santa Ana, CA 92704-5700
Phone
(714) 662-2256
Fax
(714) 662-0178
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Allen Chinpin Chou, MDNPI 1215919915
Title
President
Phone
(714) 662-2256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X A36505 CA Primary

Addresses

Primary practice location

2621 S Bristol St Ste 203
Santa Ana, CA 92704-5700

Mailing address

2621 S Bristol St Ste 203
Santa Ana, CA 92704-5700
Phone (714) 662-2256

Other identifiers 1

IdentifierTypeStateIssuer
GR0093350MedicaidCA

National Provider Directory

National Provider Directory

Locations

2621 S Bristol St
Ste 203
Santa Ana, CA 92704
Phone (714) 662-2256

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881793362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST STE 203",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045700",
            "telephone_number": "714-662-2256",
            "fax_number": "714-662-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST STE 203",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045700",
            "telephone_number": "714-662-2256",
            "fax_number": "714-662-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIDOCS MEDICAL GROUP,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "CHINPIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-662-2256",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A36505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0093350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • 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.