Northern Orange County ENT Medical Corp

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

G73421 Issued in CA

Legal business name

NORTHERN ORANGE COUNTY ENT MEDICAL CORP

Practice address

1955 Sunnycrest Dr
Ste 108
Fullerton, CA 92835-3654

Phone

(714) 441-0133

Fax

(714) 441-1082

NPI assigned

Apr 24, 2006

Organization subpart

No

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

Authorized official

Name

Ann Hodges

Title

Office Manager

Phone

(714) 441-0133

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

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

• James J Lee, M.D

  • Otolaryngology Physician
  • Fullerton, CA
  • NPI 1033316682
  Medicare reassignment NPD

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1952367542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 SUNNYCREST DR",
            "address_2": "STE 108",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353654",
            "telephone_number": "714-441-0133",
            "fax_number": "714-441-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 SUNNYCREST DR",
            "address_2": "STE 108",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353654",
            "telephone_number": "714-441-0133",
            "fax_number": "714-441-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ORANGE COUNTY ENT MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-441-0133"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G73421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Northern Oc ENT Properties LLC
• Nickolas E Nottebrock
• Elanood Nour
• Marwa Nouristani
• Nova One Home Healthcare Corporation
• Nova One Hospice Care Corporation

• Otolaryngology Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.