1841209475 NPI number — JAMES W. OCHI, MD A MEDICAL CORPORATION

Table of content: DR. PAUL ARTHUR SCHEFFT JR. M.D. (NPI 1811087612)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841209475 NPI number — JAMES W. OCHI, MD A MEDICAL CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JAMES W. OCHI, MD A MEDICAL CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841209475
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/06/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
477 N EL CAMINO REAL
Provider Second Line Business Mailing Address:
SUITE C303
Provider Business Mailing Address City Name:
ENCINITAS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92024-1328
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
858-792-4800
Provider Business Mailing Address Fax Number:
858-259-6286

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
477 N EL CAMINO REAL
Provider Second Line Business Practice Location Address:
SUITE C303
Provider Business Practice Location Address City Name:
ENCINITAS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92024-1328
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-792-4800
Provider Business Practice Location Address Fax Number:
858-259-6286
Provider Enumeration Date:
08/05/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
OCHI
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
858-792-4800

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  G55273 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00G552730 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".