Davita Medical Group Talbert California, P.C.
Organization Active NPI Family Medicine Physician · Anaheim, CA
NPI 1477554012 · NPPES record last updated Aug 19, 2019
Key facts
- NPI
- 1477554012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- DAVITA MEDICAL GROUP TALBERT CALIFORNIA, P.C.
- Practice address
- 1236 N Magnolia Ave
Anaheim, CA 92801-2607 - Phone
- (714) 995-1000
- Fax
- (714) 828-7926
- NPI assigned
- Aug 4, 2005
- Organization subpart
- No
Authorized official
- Name
- John G. Liethen
- Title
- Secretary
- Phone
- (952) 205-6262
Practitioners 41
-
Aparna S Akolkar, MD
-
Ronnie Alas, M.D.
-
Victor C. Caluya, MD
-
Derek Hsuante Chao, M.D.
-
Adam I. Chen, MD
-
Long Phi Dang, M.D.
-
Ragavi Elangovan, D.O
-
Edward R Etzkorn, MD
-
Daphne Renata Hayes, M.D.
-
Michael J. Her, M.D.
-
George A. Hong, MD
-
Kristopher A Huston, M.D.
-
Michael Robert Kammerman, M.D.
-
Denis P. Karp, MD
-
Stephanie M Kusser, N.P.
-
Suzanne Clara Larkin, FNP-C
-
Alyssa Khanh-Van Le, M.D
-
Edwin W. Mattson, MD
-
Frederick Mayer, DPM
-
Colette McFadden, MD
-
Timothy E Neufeld, M.D.
National Provider Directory
Locations
925 S Euclid St
Anaheim, CA 92802
Phone (714) 929-2466
3649 Florence Ave
Bell Gardens, CA 90201
Phone (323) 583-6333
1665 Scenic Ave
Costa Mesa, CA 92626
Phone (310) 214-5722
7872 Walker St
La Palma, CA 90623
Phone (714) 490-3428
675 S Arroyo Pkwy
Ste 400
Pasadena, CA 91105
Phone (626) 795-4116
1002 N Fairview St
Santa Ana, CA 92703
Phone (714) 332-1069
901 W Civic Center Dr
Ste 120
Santa Ana, CA 92703
Phone (714) 835-8501
10161 Bolsa Ave
Ste 206C
Westminster, CA 92683
Phone (714) 839-9091
10161 Bolsa Ave
Ste C206
Westminster, CA 92683
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | CA | ||
| Allergy & Immunology Physician |
207K00000X | CA | ||
| Dermatology Physician |
207N00000X | CA | ||
| Emergency Medical Services (Emergency Medicine) Physician |
207PE0004X | CA | ||
| Family Medicine Physician |
207Q00000X | CA | Yes | |
| Internal Medicine Physician |
207R00000X | CA | ||
| Obstetrics & Gynecology Physician |
207V00000X | CA | ||
| Ophthalmology Physician |
207W00000X | CA | ||
| Otolaryngology Physician |
207Y00000X | CA | ||
| Clinical Pathology/Laboratory Medicine Physician |
207ZP0105X | CA | ||
| Pediatrics Physician |
208000000X | CA | ||
| Neurology Physician |
2084N0400X | CA | ||
| Surgery Physician |
208600000X | CA | ||
| Urology Physician |
208800000X | CA |
Addresses
Primary practice location
1236 N Magnolia Ave
Anaheim, CA 92801-2607
Mailing address
P.O. Box 6400
Torrance, CA 90504-6400
Phone (310) 783-5552
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0077863 | Medicaid | CA |
Other names
- Talbert Medical Group
Other providers in Anaheim, CA
- Malee Joy Davis
- Nicollette Davis
- Paul J Davis
- Rachael Z Davis
- Marc J. Davison
- Dawn M. Terashita, PC
- Paul Dawood
- Colby Forrest Dawson
- Karen Burgos Dawson
- Rhiannon Dawson
All providers in Anaheim, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.