Anaheim Medical Group Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ANAHEIM MEDICAL GROUP INC

Practice address

2571 W la Palma Ave
Anaheim, CA 92801-2622

Phone

(714) 827-9797

Fax

(714) 827-5377

NPI assigned

Nov 2, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cristina Habecyh, MA

Title

Office Manager

Phone

(714) 827-9797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kambiz Afrasiabi, M.D.

  • Medical Oncology Physician
  • Anaheim, CA
  • NPI 1578572368
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1013217389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 W LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012622",
            "telephone_number": "714-827-9797",
            "fax_number": "714-827-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 W LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012622",
            "telephone_number": "714-827-9797",
            "fax_number": "714-827-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "HABECYH",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-827-9797",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anaheim Hospice, Inc
• Anaheim Injury Center
• Anaheim Market Clinic
• Anaheim Medical Clinic, Inc.
• Anaheim Medical Group
• Anaheim Medical Supply Inc.
• Anaheim Memorial Hospital Emergency Physicians Medical Group
• Anaheim Memorial Medical Center
• Anaheim Orthodontics and Family Dentistry
• Anaheim Orthotics and Orthopedic Appliances

• Primary Care Clinic/Center in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.