PRIME HEALTHCARE ANAHEIM, LLC (NPI# 1730526963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730526963 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCARE ANAHEIM, LLC |
| Other Organization Name | WEST ANAHEIM MEDICAL CENTER |
| Practice Address |
3033 W Orange Ave Anaheim CA 92804-3156 |
| Practice Telephone | 7142295678 |
| Mailing Telephone | 7142295678 |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2017-02-10 |
| Authorized Official Name | MR. VIRG NARBUTAS (CEO) |
| Authorized Official Telephone | 7142294000 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRIME HEALTHCARE ANAHEIM, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 060000182 | CA | Nursing & Custodial Care Facilities |
| Y | 282N00000X | General Acute Care Hospital | 060000182 | CA | Hospitals |
| Other Name | Type Code |
|---|---|
| WEST ANAHEIM MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871501916 | Prime Healthcare Anaheim, LLC | General Acute Care Hospital | 3033 W Orange Ave, Anaheim, CA 92804-3156 | 2006-08-04 |
| Street Address |
3033 W ORANGE AVE |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92804-3156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770554362 | The Anaheim Vhs Limited Partnership | General Acute Care Hospital | 3033 W Orange Ave, Anaheim, CA 92804-3156 | 2006-01-31 |
| 1578180618 | Deepthi Devagudi | Student in an Organized Health Care Education/Training Program | 3033 W Orange Ave, Anaheim, CA 92804-3156 | 2020-07-04 |
| 1326660143 | Lakshita Gupta | Student in an Organized Health Care Education/Training Program | 3033 W Orange Ave, Anaheim, CA 92804-3156 | 2020-05-14 |
| 1487275194 | Olaniyi Fadeyi | Student in an Organized Health Care Education/Training Program | 3033 W Orange Ave, Anaheim, CA 92804-3183 | 2020-05-04 |
| 1821619016 | Jonathan Charlu | Student in an Organized Health Care Education/Training Program | 3033 W Orange Ave, Anaheim, CA 92804-3183 | 2020-04-29 |
| 1699395137 | Zetha Sovyanhadi | Student in an Organized Health Care Education/Training Program | 3033 W Orange Ave, Anaheim, CA 92804-3156 | 2020-04-24 |
| 1487274825 | Tatiana Vasilyeva | Internal Medicine | 3033 W Orange Ave, Anaheim, CA 92804-3183 | 2020-04-24 |
| 1407476468 | Gautam Reddy Anugu | Student in an Organized Health Care Education/Training Program | 3033 W Orange Ave, Anaheim, CA 92804-3183 | 2020-04-20 |
| 1568021913 | Amethyst Aguero | Student in an Organized Health Care Education/Training Program | 3033 W Orange Ave, Anaheim, CA 92804-3156 | 2019-06-10 |
| 1205494283 | Phuong Nguyen | Student in an Organized Health Care Education/Training Program | 3033 W Orange Ave, Anaheim, CA 92804-3156 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
| 1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
| 1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
| 1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
| 1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
| Find all providers in zip 92804 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346781416 | Ashok Amin Md Inc | General Acute Care Hospital | 3319 W Glen Holly Dr, Anaheim, CA 92804-3736 | 2017-03-09 |
| 1376835629 | Michael Yu Sy | General Acute Care Hospital | 924 S Lone Pine Ln, Anaheim, CA 92808-2308 | 2011-05-04 |
| 1518110337 | Careerstaff Unlimited | General Acute Care Hospital | 300 S Harbor Blvd Ste 710, Anaheim, CA 92805-3719 | 2008-10-23 |
| 1568630622 | Loma Linda University Medical Center | General Acute Care Hospital | 8265 E Blackwillow Cir, Apt. 112, Anaheim, CA 92808-1958 | 2008-02-12 |
| 1073720629 | Anaheim General Hospital | General Acute Care Hospital | 3500 W Ball Rd, Anaheim, CA 92804-3606 | 2007-05-16 |
| 1144375056 | Kaiser Foundation Hospitals | General Acute Care Hospital | 3440 E. La Palma Ave, Anaheim, CA 92806-2020 | 2007-01-24 |
| 1881786366 | Anaheim General Hospital | General Acute Care Hospital | 3350 W Ball Road, Anaheim, CA 92804 | 2006-09-29 |
| 1770554362 | The Anaheim Vhs Limited Partnership | General Acute Care Hospital | 3033 W Orange Ave, Anaheim, CA 92804-3156 | 2006-01-31 |
| 1790778488 | Anaheim Global Medical Center, Inc | General Acute Care Hospital | 1025 S Anaheim Blvd, Anaheim, CA 92805-5806 | 2005-08-26 |
| 1417582370 | New Essence Recovery | General Acute Care Hospital | 10784 Harcourt Ave, Anaheim, CA 92804-6341 | 2020-03-11 |
| 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.