Andrew Concoff, MD
Andrew Concoff is a Sports Medicine (Internal Medicine) Physician provider (Internal Medicine) practicing in Fullerton, CA, registered in the NPPES registry with NPI 1366442998 since 2005. The credential MD stands for Doctor of Medicine. Practices at Providence Medical Foundation (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366442998 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Andrew Concoff |
| Credential | MD |
| Sex | Male |
| Practice address | 2141 N HARBOR BLVD STE 35000, Fullerton, CA, 92835 |
| Phone | 7146268630 |
| Fax | 7146268659 |
| Enumeration date | 2005-07-26 |
| Last updated in NPPES | 2019-04-22 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207RR0500X | Rheumatology Physician | Secondary | A55793 | CA |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | Primary | A55793 | CA |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Andrew Concoff, MD NPI: 1366442998 Taxonomy: 207RS0010X (Sports Medicine (Internal Medicine) Physician) Address: 2141 N HARBOR BLVD STE 35000, Fullerton, CA, 92835
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1972726784 | Kyla Davis | Individual | Medical Physician Assistant | Fullerton, CA |
| 1588872089 | Carrie Carrillo | Individual | Surgical Physician Assistant | Fullerton, CA |
| 1316243769 | Providence Medical Foundation | Organization | Orthopaedic Surgery Physician | Fullerton, CA |
| 1982138665 | Johan Forslund | Individual | Adult Reconstructive Orthopaedic Surgery Physician | Fullerton, CA |
| 1265946610 | Kate Boulder | Individual | Nurse Practitioner | Fullerton, CA |
| 1346716842 | Charles Greener | Individual | Surgical Physician Assistant | Fullerton, CA |
| 1013487883 | Austin Perkins | Individual | Surgical Physician Assistant | Fullerton, CA |
| 1174407944 | Arnold Ryan Haban | Individual | Registered Nurse | Fullerton, CA |
Verify this record
Cross-check NPI 1366442998 against the authoritative CMS record: view Andrew Concoff on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-04-22.