Organization Active NPI

Aungkhin Psychiatry Medical Group Inc

  • Adult Health Nurse Practitioner
  • Anaheim, CA
National Provider Identifier
1437545787
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
275289 Issued in CA
Legal business name
AUNGKHIN PSYCHIATRY MEDICAL GROUP INC
Practice address
1673 W Broadway Ste 6
Anaheim, CA 92802-1109
Phone
(714) 774-5915
Fax
(714) 774-8095
NPI assigned
Apr 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Angela Desai
Title
NP
Phone
(714) 774-5915

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 9871 CA
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X 275289 CA Primary

Addresses

Primary practice location

1673 W Broadway Ste 6
Anaheim, CA 92802-1109

Mailing address

1673 W Broadway Ste 6
Anaheim, CA 92802-1109
Phone (714) 774-5915

Other identifiers 1

IdentifierTypeStateIssuer
CA123377OtherCACA123377

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1437545787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 W BROADWAY STE 6",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021109",
            "telephone_number": "714-774-5915",
            "fax_number": "714-774-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 W BROADWAY STE 6",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021109",
            "telephone_number": "714-774-5915",
            "fax_number": "714-774-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUNGKHIN PSYCHIATRY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "714-774-5915"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "9871",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "275289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA123377",
            "identifier": "CA123377",
            "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 Apr 14, 2015; 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.