NPIMap

Organization Active NPI

Universa Medica Healh ,Inc

  • Family Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1114269404
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A55647 Issued in CA
Legal business name
UNIVERSA MEDICA HEALH ,INC
Practice address
1125 E 17TH St Ste 106
Santa Ana, CA 92701-2201
Phone
(714) 480-6800
Fax
(714) 480-9285
NPI assigned
Mar 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
David Anaya Sanchez, MDNPI 1316162258
Title
Medical Director
Phone
(714) 480-6800

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A55647 CA Primary

Addresses

Primary practice location

1125 E 17TH St Ste 106
Santa Ana, CA 92701-2201

Mailing address

PO Box 1674
Santa Ana, CA 92702-1674
Phone (714) 480-6800

Other practice location 1

661 W 1st St Ste A
Tustin, CA 92780-2939
Phone (714) 665-9890

Other identifiers 1

IdentifierTypeStateIssuer
00A556470MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Dba Anaya Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

661 W 1st St
Ste A
Tustin, CA 92780
Phone (714) 665-1175

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1114269404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1674",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927021674",
            "telephone_number": "714-480-6800",
            "fax_number": "714-480-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST STE 106",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012201",
            "telephone_number": "714-480-6800",
            "fax_number": "714-480-9285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "661 W 1st St Ste A",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927802939",
            "country_code": "US",
            "telephone_number": "714-665-9890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSA MEDICA HEALH ,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANAYA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-480-6800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A55647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A556470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.