Anaheim Surgicenter Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

BUS1998002520 Issued in CA

Legal business name

ANAHEIM SURGICENTER INC

Practice address

1211 W la Palma Ave
Suite 604a
Anaheim, CA 92801-2815

Phone

(714) 772-1736

Fax

(714) 520-0969

NPI assigned

Dec 11, 2006

Organization subpart

No

Name

Dr. Michael P Blum, D.D.S.

Title

President

Phone

(714) 772-1736

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 13, 2012.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1215097142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE",
            "address_2": "SUITE 604A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012815",
            "telephone_number": "714-772-1736",
            "fax_number": "714-520-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE",
            "address_2": "SUITE 604A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012815",
            "telephone_number": "714-772-1736",
            "fax_number": "714-520-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM SURGICENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-772-1736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "BUS1998002520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anaheim Point Healthcare & Wellness Centre LP
• Anaheim Point Healthcare & Wellness Centre, LP
• Anaheim Pulmonary & Critical Care Group Inc
• Anaheim Senior Care LLC
• Anaheim Surgical Associates
• Anaheim Terrace Care Center, LLC
• Anaheim Union High School District
• Anaheim Union High School District
• Anaheim Union High School District CHDP Clinic
• Anaheim Urgent Care, Inc

• All providers in Anaheim, CA
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.