SOUTHERN CALIFORNIA ELECTROPHYSIOLOGY ASSOCIATES (NPI# 1184996423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184996423 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA ELECTROPHYSIOLOGY ASSOCIATES |
| Practice Address |
1211 W La Palma Ave 408 Anaheim CA 92801-2815 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 7143533250 |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | KENNY HEINE (SR DIRECTOR OPS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | A97240 | CA | Suppliers |
| Street Address |
1211 W LA PALMA AVE 408 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92801-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124024104 | Manilal B Mehta | Urology | 1211 W La Palma Ave, Ste 502, Anaheim, CA 92801-2812 | 2005-06-23 |
| 1972155430 | Marie Anna Salazar | Nurse Practitioner | 1211 W La Palma Ave, Anaheim, CA 92801-2815 | 2019-07-15 |
| 1376041129 | Abigail Ayad Makary | Nurse Practitioner | 1211 W La Palma Ave, Anaheim, CA 92801-2815 | 2018-01-26 |
| 1982153037 | Theresa Lynn Simmons | Nurse Practitioner | 1211 W La Palma Ave, 207, Anaheim, CA 92801-2815 | 2016-09-30 |
| 1548638596 | Iv for Life | Clinic/Center | 1211 W La Palma Ave, Suite 309, Anaheim, CA 92801-2815 | 2015-09-08 |
| 1801287156 | David Holstein, Md, Inc | Psychiatry & Neurology | 1211 W La Palma Ave, Suite 608, Anaheim, CA 92801-2815 | 2015-02-09 |
| 1770996076 | Hiwot Watiro | Nurse Practitioner | 1211 W La Palma Ave, Suite 702, Anaheim, CA 92801-2815 | 2014-06-04 |
| 1245654433 | Gurleen Jamarai M.d Inc | Internal Medicine | 1211 W La Palma Ave, Suite 503, Anaheim, CA 92801-2815 | 2014-02-10 |
| 1689019127 | Celyne Thao Phung | Internal Medicine | 1211 W La Palma Ave, Suite 207, Anaheim, CA 92801-2810 | 2013-05-09 |
| 1760721310 | Khemka and Khemka M.d., Inc. | Internal Medicine | 1211 W La Palma Ave, Suite 410, Anaheim, CA 92801-2863 | 2013-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376178996 | Megalink Staffing Services Corp. | Non-emergency Medical Transport (VAN) | 780 N. Euclid St., Suite 207, Anaheim, CA 92801 | 2020-03-04 |
| 1669988630 | Munoz Urgent Care Inc. | Clinic/Center | 1741 W Romneya Dr., Suite A, Anaheim, CA 92801 | 2017-12-28 |
| 1922523257 | Enrique Esparza Jr. | Peer Specialist | 501 North Brookhurst Street, Anahiem, CA 92801 | 2017-08-08 |
| 1336689405 | Lan P. Tran | Pharmacist | 2308 W Huntington Ave, Anaheim, CA 92801 | 2017-03-08 |
| 1982065447 | Giselle Magdaleno | Marriage & Family Therapist | 505 N Euclid St #300, Anaheim, CA 92801 | 2016-03-11 |
| 1346605433 | Esther Chong | Nurse Practitioner | 710 N. Euclid St., 400, Anaheim, CA 92801 | 2015-12-16 |
| 1629441183 | Caremore Health Plan | Nurse Practitioner | 1182 N. Euclid Street, Anaheim, CA 92801 | 2015-11-05 |
| 1205208451 | Uyen Diem Ngo | Pharmacist | 1188 N. Euclid St., Anaheim, CA 92801 | 2015-10-28 |
| 1962873729 | Herb and Acu | Acupuncturist | 1737 W. Romneya Dr., Anaheim, CA 92801 | 2015-10-19 |
| 1437535721 | Yessenia Alvarado | Marriage & Family Therapist | 505 N. Euclid Street, Suite 300, Anaheim, CA 92801 | 2015-08-10 |
| Find all providers in zip 92801 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841616026 | Golden West Medical Corporation | Non-Pharmacy Dispensing Site | 1000 S. Anaheim Blvd., Suite 200, Anaheim, CA 92805-5802 | 2014-03-11 |
| 1497188742 | Angels Baseball Lp | Non-Pharmacy Dispensing Site | 2000 Gene Autry Way, Anaheim, CA 92806 | 2013-08-09 |
| 1093941692 | Lars Hanson Inc | Non-Pharmacy Dispensing Site | 145 S Chaparral Ct Ste And102, Anaheim, CA 92808-2265 | 2009-06-09 |
| 1821171158 | Keiichiro Omori Md | Non-Pharmacy Dispensing Site | 1801 W Romneya Dr Ste 407, Anaheim, CA 92801-1827 | 2006-10-23 |
| 1245777465 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 200 W Center Street Promenade, Suite 100b, Anaheim, CA 92805-3960 | 2017-01-25 |
| 1740534932 | Omar O. Fadeel, Md | Non-Pharmacy Dispensing Site | 3356 W Ball Rd, 100, Anaheim, CA 92804-3702 | 2012-11-09 |
| 1902159718 | Dennis Riff Md Inc Steven Duckor Prof Corp El Al | Non-Pharmacy Dispensing Site | 1211 W La Palma Ave, 306, Anaheim, CA 92801-2815 | 2012-10-17 |
| 1467711424 | Primary & Multi-specialty Clinics of Anaheim | Non-Pharmacy Dispensing Site | 500 S Anaheim Hills Rd, 230, Anaheim, CA 92807-4780 | 2012-05-11 |
| 1831456326 | Nicole Ann Garcia | Non-Pharmacy Dispensing Site | 6200 E Canyon Rim Rd, Suite 105b, Anaheim, CA 92807-4317 | 2012-04-20 |
| 1578878252 | Orange County Medical Group, Inc | Non-Pharmacy Dispensing Site | 1211 W La Palma Ave, Ste 709, Anaheim, CA 92801-2815 | 2010-08-18 |
| Find all providers in ANAHEIM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.