Nanjo MD PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

NANJO MD PC

Practice address

5475 E la Palma Ave Ste 202
Anaheim, CA 92807-2075

Phone

(714) 701-1071

Fax

(714) 701-1078

NPI assigned

Aug 23, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Edwin Kulubya, MDNPI 1922027218

Title

Owner

Phone

(714) 234-7485

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Edwin Samuel Kulubya, M. D.

  • Pain Medicine Physician
  • Long Beach, CA
  • NPI 1922027218

  Anesthesiology

  NPD Authorized official

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1023599529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 E LA PALMA AVE STE 202",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072075",
            "telephone_number": "714-701-1071",
            "fax_number": "714-701-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 E LA PALMA AVE STE 202",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072075",
            "telephone_number": "714-701-1071",
            "fax_number": "714-701-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANJO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "KULUBYA",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-234-7485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Tania Martino Namdari, M.D.
• Ray Raman Nanda, MD
• Nandi Wijesinghe, M.D., Inc
• Riva Nandi
• Diane R Nanigian, PT
• Nanjobe Tox Laboratory
• Jean Napiza
• Laura Naranjo
• Rajalaxmi R. Narasimhan, MD
• Samuel Narayan

• Pain Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.