JOHN P ANDERSON MD RUSSELL M PERRY MD AND MARK A SHARZER MD A MED CRP


Address: 3033 West Orange Ave., Anaheim, CA 92804
Phone: 7142294060

JOHN P ANDERSON MD RUSSELL M PERRY MD AND MARK A SHARZER MD A MED CRP (NPI# 1467567511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467567511
Entity Type Organization
Organization Name JOHN P ANDERSON MD RUSSELL M PERRY MD AND MARK A SHARZER MD A MED CRP
Practice Address 3033 West Orange Ave.
Anaheim
CA 92804
Mailing Address Po Box 646
Stanton
CA 90680-0646
Practice Telephone 7142294060
Mailing Telephone 5628093513
Enumeration Date 2006-08-20
Last Update Date 2014-06-04
Authorized Official Name DR. MARK A SHARZER (AUTHORIZED OFFICIAL)
Authorized Official Telephone 7142294060
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA GR0066250 05

Office Location

Street Address 3033 WEST ORANGE AVE.
City ANAHEIM
State CA
Zip Code 92804

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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1902327281 Radiant Radiology Inc Clinic/Center 725 N Shepard St, Anaheim, CA 92806-2836 2017-06-27
1225310741 United Medical Imaging Healthcare Inc. Clinic/Center 1801 W Romneya Dr, Suite 104, Anaheim, CA 92801-1830 2011-09-10
1053541128 West Coast Radiology Center - Anaheim Clinic/Center 1085 N Harbor Blvd, Anaheim, CA 92801-2417 2009-07-22

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Competitor

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City ANAHEIM
Zip Code 92804

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Dataset Information

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.

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