Intel Healthcare LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

INTEL HEALTHCARE LLC

Practice address

712 N Valley St
Suite C
Anaheim, CA 92801-3828

Phone

(714) 833-5608

Fax

(714) 833-5592

NPI assigned

Nov 3, 2015

Organization subpart

No

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

Authorized official

Name

John Edward Mikell

Title

General Manager

Phone

(714) 833-5608

Specialties & licenses 1

Addresses

Other names 1

• Intel Ambulance Service Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adegbenga A Adetola, MD

  • Nephrology Physician
  • Lynwood, CA
  • NPI 1881776219
  NPD (past)

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1235502949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N VALLEY ST",
            "address_2": "SUITE C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013828",
            "telephone_number": "714-833-5608",
            "fax_number": "714-833-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N VALLEY ST",
            "address_2": "SUITE C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013828",
            "telephone_number": "714-833-5608",
            "fax_number": "714-833-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "MIKELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "714-833-5608"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intel Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.