Individual provider Active NPI

Edna Elvira Biddy, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Orange, CA
National Provider Identifier
1407295702
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
A140194 Issued in CA
Practice address
101 The City Dr S
Orange, CA 92868
Phone
(714) 456-8296
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X A140194 CA Primary

Addresses

Primary practice location

101 The City Dr S
Orange, CA 92868

Mailing address

200 S Manchester Ave
Orange, CA 92868-3217
Phone (714) 456-2986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821002355 CA Practitioner - Geriatric Medicine 8022367283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University ofGroup PAC ID 3779689518, 30 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-8068

Hospital & facility affiliations

  • Premium Home Health, Inc Home health agency, Norwalk, CA, CCN 058094
  • Advantage Health Systems Home health agency, Costa Mesa, CA, CCN 059511
  • Accentcare Home Health of California, Inc Home health agency, Newport Beach, CA, CCN 057573
  • Mission Home Health of Irvine, LLC Home health agency, Irvine, CA, CCN 053149
  • La Vida Home Health, Inc. Home health agency, Burbank, CA, CCN 757075
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A140194CAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Geriatric Medicine CurrentSince Aug 20, 2018 Accepting new patients
University of California Irvine Past Accepting new patients
University of California Irvine Past Accepting new patients
Uci Department of Urology Past Accepting new patients

Locations

2441 W La Palma Ave
Ste 100
Anaheim, CA 92801
Phone (657) 282-6356

101 The City Dr S
Bldg 29
Orange, CA 92868
Phone (714) 456-7005

101 The City Dr S
Bldg 25
Orange, CA 92868
Phone (714) 456-5731

101 The City Dr S
Bldg 25B
Orange, CA 92868

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1407295702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MANCHESTER AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683217",
            "telephone_number": "714-456-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-456-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDDY",
        "first_name": "EDNA",
        "middle_name": "ELVIRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A140194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.