All Family Medical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ALL FAMILY MEDICAL GROUP INC

Doing business as

Family Wellness Medical Group

Practice address

220 W 1St St Ste 102
Santa Ana, CA 92701-5262

Phone

(714) 550-7001

Fax

(714) 550-7006

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Kamran Ghodsian, MD

Title

President

Phone

(714) 662-1515

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• FAMILY WELLNESS MEDICAL GROUP Doing business as

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1982715355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W 1ST ST STE 102",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015262",
            "telephone_number": "714-550-7001",
            "fax_number": "714-550-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W 1ST ST STE 102",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015262",
            "telephone_number": "714-550-7001",
            "fax_number": "714-550-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL FAMILY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "GHODSIAN",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-662-1515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NUMBER",
            "identifier": "ZZZ55402Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0079300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY WELLNESS MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.