Organization Active NPI

Anaheim Family Care

  • Family Medicine Physician
  • Anaheim, CA
National Provider Identifier
1184941718
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ANAHEIM FAMILY CARE
Practice address
947 S Anaheim Blvd Ste 270
Anaheim, CA 92805-5584
Phone
(714) 535-1415
Fax
(714) 533-0237
NPI assigned
Apr 21, 2010
Last updated
Apr 22, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ANAHEIM FAMILY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Authorized official

Name
Gerardo Canchola, M.D.
Title
President
Phone
(714) 535-1415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

947 S Anaheim Blvd Ste 270
Anaheim, CA 92805-5584

Mailing address

947 S Anaheim Blvd Ste 270
Anaheim, CA 92805-5584

National Provider Directory

National Provider Directory
Part of
Anaheim Family Care

Practitioners & affiliated clinicians

Practitioners 1

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": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1184941718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 S ANAHEIM BLVD STE 270",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 S ANAHEIM BLVD STE 270",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055584",
            "telephone_number": "714-535-1415",
            "fax_number": "714-533-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM FAMILY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANAHEIM FAMILY CARE",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "CANCHOLA",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-535-1415",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "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 Apr 22, 2010; 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.