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AMERICAN FAMILY MEDICAL GROUP INC. NPI 1750410007


NPI Information

NPI: 1750410007
Provider Name: AMERICAN FAMILY MEDICAL GROUP, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0581602

Address:
2414 S FAIRVIEW ST STE 112
SANTA ANA, CA
ZIP 92704
Phone: (714) 641-0121
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AMERICAN FAMILY MEDICAL GROUP, INC. is a family medicine in Santa Ana, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AMERICAN FAMILY MEDICAL GROUP, INC. NPI is 1750410007. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2414 S FAIRVIEW ST STE 112
SANTA ANA, CA
ZIP 92704-345
Phone: (714) 641-0121
Fax: (714) 641-2054

The provider's authorized official is Lina R Monroe .
The authorized official title is Office Manager and has the following contact phone number (714) 641-0121.

The CLIA number assigned to this NPI record is 05D0581602 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/5/2007 and was last updated on 11/3/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA39997CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WR8435MEDICARE ID-TYPE UNSPECIFIED
2A88511MEDICARE UPINCALIFORNIA
31740244532OTHERCALIFORNIANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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