Active NPI
Michael Eugene Poh, M.D.
- Diagnostic Radiology Physician
- Anaheim, CA
National Provider Identifier
1235181850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G60583
- Practice address
- 1025 S Anaheim Blvd
Anaheim, CA 92805-5806 - Phone
- (714) 563-2813
- Fax
- (714) 502-2691
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G60583 | CA | Primary |
Addresses
Primary practice location
1025 S Anaheim Blvd
Anaheim, CA 92805-5806
Mailing address
PO Box 3129
Torrance, CA 90510-3129
Phone (310) 792-3914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G605830 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60583 | CA | MD | Marriage & Family Therapist |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1235181850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3129",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905103129",
"telephone_number": "310-792-3914",
"fax_number": "855-898-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 S ANAHEIM BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928055806",
"telephone_number": "714-563-2813",
"fax_number": "714-502-2691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POH",
"first_name": "MICHAEL",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G60583",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G605830",
"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 Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.