NPIMap

Organization Active NPI

Family Care Medical Ass

  • Occupational Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1962540682
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
G47665 Issued in CA
Legal business name
FAMILY CARE MEDICAL ASS
Practice address
18582 Beach Blvd Ste 23a
Huntington Beach, CA 92648-2012
Phone
(714) 964-4448
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Ms. Biljana Sredanovic, BA, MBA
Title
Office Manager
Phone
(714) 964-4448

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X G47665 CA
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X G47665 CA Primary

Addresses

Primary practice location

18582 Beach Blvd Ste 23a
Huntington Beach, CA 92648-2012

Mailing address

18582 Beach Blvd Ste 23a
Huntington Beach, CA 92648-2012
Phone (714) 964-4448

Other names 1

  • Cheshire Medical Corp Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cheshire Medical Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18582 Beach Blvd
Ste 23A
Huntington Beach, CA 92648
Phone (714) 964-4442

Practitioners & affiliated clinicians

Practitioners 5

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": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1962540682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18582 BEACH BLVD STE 23A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482012",
            "telephone_number": "714-964-4448",
            "fax_number": "714-963-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18582 BEACH BLVD STE 23A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482012",
            "telephone_number": "714-964-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE MEDICAL ASS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "SREDANOVIC",
        "authorized_official_first_name": "BILJANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-964-4448",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA, MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G47665",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "G47665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheshire Medical Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.