Active NPI
Aungkhin Psychiatry Medical Group Inc
- Adult Health Nurse Practitioner
- Anaheim, CA
National Provider Identifier
1437545787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 275289
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9871 | CA | |
| Adult Health Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA123377 | Other | CA | CA123377 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Psychiatry Physician
- Anaheim, CA
- NPI 1659531994
-
- Marriage & Family Therapist
- Anaheim, CA
- NPI 1083086888
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.