Theodore J Jekums, MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G23626 Issued in CA

Legal business name

THEODORE J JEKUMS, MD PC

Practice address

1801 W. Romneya Dr
Ste 404
Anaheim, CA 92801-1826

Phone

(714) 535-4747

Fax

(714) 535-4054

NPI assigned

Nov 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Theodore James Jekums, M.D.

Title

President

Phone

(714) 535-4747

Specialties & licenses 2

Addresses

Other names 1

• Theodore J. Jekums MD LLC Former legal business name

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1124329594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W. ROMNEYA DR",
            "address_2": "STE 404",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011826",
            "telephone_number": "714-535-4747",
            "fax_number": "714-535-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W. ROMNEYA DR",
            "address_2": "STE 404",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011826",
            "telephone_number": "714-535-4747",
            "fax_number": "714-535-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE J JEKUMS, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "JEKUMS",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-535-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G23626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Theodore J. Jekums MD LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Surgery Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.