Organization Active NPI

Bethesda Medical Center

  • Clinic/Center
  • Anaheim, CA
National Provider Identifier
1164507117
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BETHESDA MEDICAL CENTER
Practice address
137 S Knott Ave
Anaheim, CA 92804-1406
Phone
(714) 484-9000
Fax
(714) 484-9019
NPI assigned
Oct 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Theodore H Kwon, MDNPI 1760408470
Title
President
Phone
(213) 300-0010

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

137 S Knott Ave
Anaheim, CA 92804-1406

Mailing address

PO Box 1557
La Mirada, CA 90637-1557
Phone (213) 300-0010

National Provider Directory

National Provider Directory

Locations

905 S Euclid St
Ste 105
Fullerton, CA 92832
Phone (714) 578-5700

3030 W 8th St
Ste 407
Los Angeles, CA 90005
Phone (213) 387-6462

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164507117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1557",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906371557",
            "telephone_number": "213-300-0010",
            "fax_number": "714-484-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 S KNOTT AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041406",
            "telephone_number": "714-484-9000",
            "fax_number": "714-484-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-300-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 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.