Orange County Cardio Center, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

FNP13333 Issued in CA

Legal business name

ORANGE COUNTY CARDIO CENTER, INC

Practice address

17150 Euclid St Ste 306
Fountain Valley, CA 92708-4092

Phone

(714) 540-8101

Fax

(714) 966-2966

NPI assigned

Dec 15, 2006

Last updated

Jun 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gurinder P Singh

Title

Administrator

Phone

(714) 540-8101

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1952463796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17150 EUCLID ST STE 306",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084092",
            "telephone_number": "714-540-8101",
            "fax_number": "714-966-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17150 EUCLID ST STE 306",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084092",
            "telephone_number": "714-540-8101",
            "fax_number": "714-966-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY CARDIO CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "GURINDER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-540-8101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "FNP13333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0028690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orange Coast Medical, a Medical Corporation
• Orange Coast Memorial Medical Center
• Orange Coast Memorial Medical Center
• Orange Coast Psychological Associates, P.C.
• Orange Coast Radiation Oncology Medical Group
• Orange County Caregivers, Inc. (Senior Helpers Costa Mesa)
• Orange County Diagnostic Radiology, Inc. (Orange County MRI)
• Orange County Digestive Care Inc
• Orange County Physical Medicine Group, a Professional Corp.
• Orange County Respiratory Physicians Corp

• Specialist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.