HEALTHSOURCE OF ANAHEIM INC (NPI# 1851440226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851440226 |
| Entity Type | Organization |
| Organization Name | HEALTHSOURCE OF ANAHEIM INC |
| Practice Address |
716 S State College Blvd Anaheim CA 92806-4526 |
| Mailing Address |
4760 Devonport Cir Yorba Linda CA 92887-2609 |
| Practice Telephone | 7147727100 |
| Mailing Telephone | 7147727100 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2009-03-24 |
| Authorized Official Name | AMAL F COOPER (PRESIDENT) |
| Authorized Official Telephone | 7147727100 |
| Authorized Official Credential | D C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD GROUP ID | ZZZ05681Z | 01 |
| Street Address |
716 S STATE COLLEGE BLVD |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92806-4526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497170542 | Jamie Foster | Nurse Practitioner | 716 S State College Blvd, Anaheim, CA 92806-4526 | 2014-02-26 |
| 1306995774 | Amal F Cooper | Chiropractor | 716 S State College Blvd, Anaheim, CA 92806-4526 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1780175968 | Brooke Lindsay Owen | Specialist/Technologist | 1300 N. Kraemer Blvd, Anaheim, CA 92806 | 2018-05-23 |
| 1033631973 | Biocorrx Inc. | Rehabilitation, Substance Use Disorder Unit | 2390 E Orangewood Avenue, Suite 575, Anaheim, CA 92806 | 2017-07-12 |
| 1437679784 | Margaret Elena Popp | Counselor | Adult and Older Adult Behavioral Health Services, 2035 E. Ball Rd, Anaheim, CA 92806 | 2017-06-27 |
| 1982134581 | Jessica Nguyen | Pharmacist | 2833 E Randy Ave, Anaheim, CA 92806 | 2017-06-15 |
| 1518493733 | Oksana Pradun | Nurse Practitioner | 2111 East Ball Rd., Anaheim, CA 92806 | 2017-05-08 |
| 1568828754 | Sanah Qureshi | Nurse Anesthetist, Certified Registered | 2546 E Strong Pl, Anaheim, CA 92806 | 2016-01-05 |
| 1689050379 | Wu Chiropractic Care, Inc. | Acupuncturist | 215 N State College Blvd., #b, Anaheim, CA 92806 | 2015-08-04 |
| 1659757375 | Jonathan Song | Dentist | 1134 N State College Blvd Ste C, Anaheim, CA 92806 | 2015-08-04 |
| 1558764761 | Mariko Horie | Acupuncturist | 504 N State College Blvd, Anaheim, CA 92806 | 2014-10-01 |
| Find all providers in zip 92806 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457965634 | Frank Zermeno Chiropractic, Inc | Chiropractor | 3010 W Orange Ave Ste 102, Anaheim, CA 92804-3170 | 2020-09-03 |
| 1033739685 | Kristopher Nguyen | Chiropractor | 2120 S Anchor St, Anaheim, CA 92802-4905 | 2020-04-23 |
| 1245871946 | One Naturopathic Health Center Inc | Chiropractor | 1184 N Euclid St, Anaheim, CA 92801-1900 | 2019-10-03 |
| 1740768472 | Julie Lau | Chiropractor | 1000 S Anaheim Blvd Ste 200-208, Anaheim, CA 92805-5801 | 2018-08-03 |
| 1235646993 | William Randolph Jo Edwards | Chiropractor | 8267 E Merryweather Ln, Anaheim, CA 92808-2317 | 2018-01-03 |
| 1013432103 | Ian Cube | Chiropractor | 2500 E Ball Rd Ste 100, Anaheim, CA 92806-5062 | 2017-08-09 |
| 1083149819 | Ellie Nazer | Chiropractor | 710 S Brookhurst St Ste D, Anaheim, CA 92804-4321 | 2017-04-30 |
| 1760865117 | Kim Chiropractic & Acupuncture Inc. | Chiropractor | 1801 W Romneya Dr Ste 301, Anaheim, CA 92801-1825 | 2015-07-02 |
| 1871980144 | Taeho Ma Chiropractic, Inc. | Chiropractor | 8253 E Birch Tree Ln, Anaheim, CA 92808-2322 | 2015-04-23 |
| 1669866299 | Juan Carlos Barboza Jr. | Chiropractor | 239 S Echo St, Anaheim, CA 92804-2515 | 2015-03-20 |
| 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.