PRIMARY & MULTI-SPECIALTY CLINICS OF ANAHEIM (NPI# 1467711424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467711424 |
| Entity Type | Organization |
| Organization Name | PRIMARY & MULTI-SPECIALTY CLINICS OF ANAHEIM |
| Other Organization Name | GATEWAY REGIONAL MEDICAL CENTER - CANYON HILLS |
| Practice Address |
500 S Anaheim Hills Rd 230 Anaheim CA 92807-4780 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 7149742820 |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | KENNY HEINE (VP OPS) |
| Authorized Official Telephone | 8589641506 |
| 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 | A42392 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| GATEWAY REGIONAL MEDICAL CENTER - CANYON HILLS | Doing Business As Name - Organization |
| Street Address |
500 S ANAHEIM HILLS RD 230 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92807-4780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293578 | Raymond Man-shu Chan | Dentist | 500 S Anaheim Hills Rd, Ste 228, Anaheim, CA 92807-5213 | 2005-05-27 |
| 1053852236 | Surgery Center of Anaheim Hills, LLC | Clinic/Center | 500 S Anaheim Hills Rd, Suite 128, Anaheim, CA 92807-4780 | 2017-03-20 |
| 1376098525 | Trilogy Eye Medical Group, Inc. | Optometrist | 500 S Anaheim Hills Rd, Suite 240, Anaheim, CA 92807-4780 | 2016-08-17 |
| 1740659234 | Carol K. Yeung, D.d.s. Inc | Dentist | 500 S Anaheim Hills Rd, #116, Anaheim, CA 92807-4780 | 2015-09-15 |
| 1669865747 | Retina Institute of California Medical Group | Optometrist | 500 S Anaheim Hills Rd, Ste. 240, Anaheim, CA 92807-4780 | 2015-03-12 |
| 1083966691 | First Choice Physician Partners | Family Medicine | 500 S Anaheim Hills Rd, Ste 242, Anaheim, CA 92807-4780 | 2012-10-05 |
| 1265788822 | Janet M Francis-cisneros | Marriage & Family Therapist | 500 S Anaheim Hills Rd, Suite 202, Anaheim, CA 92807-4780 | 2012-07-31 |
| 1720359995 | Kellie Masuda | Physical Therapist | 500 S Anaheim Hills Rd, Suite 106, Anaheim, CA 92807-4780 | 2012-01-19 |
| 1275800401 | Ivan P. Martinez, M.d. Inc. | Specialist | 500 S Anaheim Hills Rd, 200, Anaheim, CA 92807-4780 | 2011-11-16 |
| 1619244886 | Donna Tomlinson | Preventive Medicine | 500 S Anaheim Hills Rd, Suite 202, Anaheim, CA 92807-4780 | 2011-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400759 | Katie Greasby | Marriage & Family Therapist | 509 S. Villa Real Dr. #117, Anaheim Hills, CA 92807 | 2020-09-08 |
| 1386201481 | Joseph Hasrouni | Counselor | Cvs 9753, 5735 E. La Palma Ave, Anaheim, CA 92807 | 2019-05-23 |
| 1144739277 | Luis Antonio Perez | Social Worker | 2112 E 4th St. #107, Santa Ana, CA 92807 | 2017-09-20 |
| 1548781883 | F.foroutan Dds Inc. | Dentist | 5031 E. Orangethorpe Ave., Suite # B-2, Anaheim Hills, CA 92807 | 2017-06-27 |
| 1487101515 | Eloy Ramirez | Counselor | 233 S. Quintana Drive, Anaheim, CA 92807 | 2016-09-07 |
| 1255786448 | K's Loving Care | Custodial Care Facility | 1211 N Amelia St, Anaheim, CA 92807 | 2016-04-26 |
| 1265806673 | Jessica Vickers | Marriage & Family Therapist | 5500 E Santa Ana Canyon Rd Ste 216, Anaheim, CA 92807 | 2015-11-23 |
| 1033596796 | Donovan Garcia Teves | Specialist | 1261 Lakeview Ave., Suite 'a', Anaheim Hills, CA 92807 | 2015-05-01 |
| 1235544354 | Nicole Reaves | Occupational Therapist | 5630 E Santa Ana Canyon Rd Ste 105, Anaheim, CA 92807 | 2014-06-26 |
| 1093143471 | Behrang E Toubak | Counselor | 6381 E Via Arboles, Anaheim, CA 92807 | 2013-10-23 |
| Find all providers in zip 92807 | ||||
| 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 |
| 1831456326 | Nicole Ann Garcia | Non-Pharmacy Dispensing Site | 6200 E Canyon Rim Rd, Suite 105b, Anaheim, CA 92807-4317 | 2012-04-20 |
| 1184996423 | Southern California Electrophysiology Associates | Non-Pharmacy Dispensing Site | 1211 W La Palma Ave, 408, Anaheim, CA 92801-2815 | 2012-02-02 |
| 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.