Organization Active NPI

E Peter Anzaldo MD Inc

  • Maternal & Fetal Medicine Physician
  • Orange, CA
National Provider Identifier
1467957654
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
G36638 Issued in CA
Legal business name
E PETER ANZALDO MD INC
Practice address
1310 W Stewart Dr Ste 403
Orange, CA 92868-3855
Phone
(714) 997-7140
Fax
(714) 639-0920
NPI assigned
Mar 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Authorized official

Name
E Peter Anzaldo, MD
Title
Owner
Phone
(714) 997-7140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X G36638 CA Primary

Addresses

Primary practice location

1310 W Stewart Dr Ste 403
Orange, CA 92868-3855

Mailing address

1310 W Stewart Dr Ste 403
Orange, CA 92868-3855
Phone (714) 997-7140

Other identifiers 1

IdentifierTypeStateIssuer
00G366380MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1467957654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR STE 403",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683855",
            "telephone_number": "714-997-7140",
            "fax_number": "714-639-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR STE 403",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683855",
            "telephone_number": "714-997-7140",
            "fax_number": "714-639-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E PETER ANZALDO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "ANZALDO",
        "authorized_official_first_name": "E PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-997-7140",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "G36638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G366380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.