Anaheim Family Medical Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A49801 Issued in CA

Legal business name

ANAHEIM FAMILY MEDICAL INC

Practice address

1801 W Romneya Dr
Suite 305
Anaheim, CA 92801-1825

Phone

(714) 999-5948

Fax

(714) 999-0930

NPI assigned

Oct 1, 2007

Last updated

Sep 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elaheh Farshidi, MD

Title

President

Phone

(714) 999-5948

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1225225543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10073",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928889998",
            "telephone_number": "714-999-5948",
            "fax_number": "714-999-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W ROMNEYA DR",
            "address_2": "SUITE 305",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011825",
            "telephone_number": "714-999-5948",
            "fax_number": "714-999-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM FAMILY MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "FARSHIDI",
        "authorized_official_first_name": "ELAHEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-999-5948",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A49801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A498010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anaheim Elementary School District
• Anaheim Elementary School District
• Anaheim Emergency Medical Group
• Anaheim Eye Medical Group Inc
• Anaheim Family Care
• Anaheim First Family Dental Inc.
• Anaheim General Hospital
• Anaheim General Hospital
• Anaheim General Hospital
• Anaheim General Hospital LTD

• General Practice Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.