Organization Active NPI

Anabi Medical Corp

  • Internal Medicine Physician
  • Ontario, CA
National Provider Identifier
1417215328
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A61382 Issued in CA
Legal business name
ANABI MEDICAL CORP
Practice address
933 E Deodar St
Ontario, CA 91764-1309
Phone
(909) 629-7878
Fax
(909) 629-2850
NPI assigned
Apr 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Dr. Samir Anabi, M.D.
Title
President
Phone
(909) 629-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A61382 CA Primary

Addresses

Primary practice location

933 E Deodar St
Ontario, CA 91764-1309

Mailing address

160 E Artesia St
Suite 225
Pomona, CA 91767-2900
Phone (909) 629-7878

National Provider Directory

National Provider Directory
Tax ID family
Anabi Medical Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16471/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1417215328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E ARTESIA ST",
            "address_2": "SUITE 225",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672900",
            "telephone_number": "909-629-7878",
            "fax_number": "909-629-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 E DEODAR ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917641309",
            "telephone_number": "909-629-7878",
            "fax_number": "909-629-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANABI MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "ANABI",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-629-7878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.