NPIMap

Organization Active NPI

Access Doctor Care Medical Clinic

  • Primary Care Clinic/Center
  • Anaheim, CA
National Provider Identifier
1134167828
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A32893 Issued in CA
Legal business name
ACCESS DOCTOR CARE MEDICAL CLINIC
Practice address
215 N State College Blvd
Suite a
Anaheim, CA 92806-2913
Phone
(714) 517-0467
Fax
(714) 517-0466
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anh Huu Nguyen, M.D.NPI 1215920046
Title
President
Phone
(714) 517-0467

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
Primary Care Clinic/Center 261QP2300X A32893 CA Primary

Addresses

Primary practice location

215 N State College Blvd
Suite a
Anaheim, CA 92806-2913

Mailing address

215 N State College Blvd
Suite a
Anaheim, CA 92806-2913
Phone (714) 517-0467

Other identifiers 2

IdentifierTypeStateIssuer
00A328930MedicaidCA
00A328931MedicaidCA

National Provider Directory

National Provider Directory

Locations

215 N State College Blvd
Ste A
Anaheim, CA 92806
Phone (714) 517-0467

Practitioners & affiliated clinicians

Practitioners 3

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134167828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N STATE COLLEGE BLVD",
            "address_2": "SUITE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062913",
            "telephone_number": "714-517-0467",
            "fax_number": "714-517-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N STATE COLLEGE BLVD",
            "address_2": "SUITE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062913",
            "telephone_number": "714-517-0467",
            "fax_number": "714-517-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS DOCTOR CARE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANH",
        "authorized_official_middle_name": "HUU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-517-0467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A32893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A328930",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A328931",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.