Organization Active NPI

Orange County Neurological Medical Group Inc

  • Neurology Physician
  • Anaheim, CA
National Provider Identifier
1023110905
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ORANGE COUNTY NEUROLOGICAL MEDICAL GROUP INC
Practice address
1211 W la Palma Ave Ste 710
Anaheim, CA 92801-2814
Phone
(714) 730-0311
Fax
(714) 922-8093
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Authorized official

Name
Dr. David Holstein, M.D.NPI 1518987585
Title
Owner
Phone
(714) 730-0311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1211 W la Palma Ave Ste 710
Anaheim, CA 92801-2814

Mailing address

PO Box 17957
Irvine, CA 92623-7957
Phone (714) 730-0311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050721000155 CA Part B Supplier - Clinic/Group Practice 6002801818 Receives reassigned benefits from 2 practitioners
Practice locations: Anaheim, CA; Santa Ana, CA; Huntington Beach, CA

National Provider Directory

National Provider Directory

Locations

1015 S Anaheim Blvd
Anaheim, CA 92801
Phone (714) 774-1450

1015 S Anaheim Blvd
Anaheim, CA 92801
Phone (714) 774-1450

7677 Center Ave
Ste 200
Huntington Beach, CA 92647
Phone (714) 952-0744

13420 Newport Ave
Ste K
Tustin, CA 92780
Phone (714) 669-3105

12575 Newport Ave
Ste C
Tustin, CA 92780
Phone (714) 544-1355

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1023110905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17957",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926237957",
            "telephone_number": "714-730-0311",
            "fax_number": "714-707-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 710",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012814",
            "telephone_number": "714-730-0311",
            "fax_number": "714-922-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY NEUROLOGICAL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "HOLSTEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-730-0311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.