Davita Medical Group Talbert California, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DAVITA MEDICAL GROUP TALBERT CALIFORNIA, P.C.

Doing business as

Talbert Medical Group

Practice address

1236 N Magnolia Ave
Anaheim, CA 92801-2607

Phone

(714) 995-1000

Fax

(714) 828-7926

NPI assigned

Aug 4, 2005

Last updated

Aug 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John G. Liethen

Title

Secretary

Phone

(952) 205-6262

Specialties & licenses 14

Addresses

Other names 1

• Talbert Medical Group Doing business as

Locations

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aparna S Akolkar, MD

  • Internal Medicine Physician
  • Carson, CA
  • NPI 1073613675
  NPD (past)
• Ronnie Alas, M.D.

  • Internal Medicine Physician
  • Santa Ana, CA
  • NPI 1306267026
  NPD (past)
• Amber Rose Calderaro, PA

  • Physician Assistant
  • Van Nuys, CA
  • NPI 1205847985
  NPD (past)
• Victor C. Caluya, MD

  • Internal Medicine Physician
  • Buena Park, CA
  • NPI 1467457101
  NPD (past)
• Derek Hsuante Chao, M.D.

  • Nephrology Physician
  • Torrance, CA
  • NPI 1609818863
  NPD (past)
• Adam I. Chen, MD

  • Gastroenterology Physician
  • Riverside, CA
  • NPI 1821160300
  NPD (past)
• Long Phi Dang, M.D.

  • Gastroenterology Physician
  • Westminster, CA
  • NPI 1346324613
  NPD (past)
• Ragavi Elangovan, D.O

  • Internal Medicine Physician
  • Costa Mesa, CA
  • NPI 1336587658
  NPD (past)
• Edward R Etzkorn, MD

  • Internal Medicine Physician
  • Huntington Beach, CA
  • NPI 1780680140
  NPD (past)
• Daphne Renata Hayes, M.D.

  • Obstetrics & Gynecology Physician
  • Lakewood, CA
  • NPI 1538459714
  NPD (past)
• Michael J. Her, M.D.

  • Internal Medicine Physician
  • Buena Park, CA
  • NPI 1932156221
  NPD (past)
• George A. Hong, MD

  • Internal Medicine Physician
  • Fountain Valley, CA
  • NPI 1154328532
  NPD (past)

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1477554012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 6400",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905046400",
            "telephone_number": "310-783-5552",
            "fax_number": "310-783-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 N MAGNOLIA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012607",
            "telephone_number": "714-995-1000",
            "fax_number": "714-828-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVITA MEDICAL GROUP TALBERT CALIFORNIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "LIETHEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "952-205-6262"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Talbert Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Talbert Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Malee Joy Davis
• Nicollette Davis, L.AC.
• Paul J Davis, D.C.
• Rachael Z Davis, LCSW
• Marc J. Davison, MD
• Dawn M. Terashita, PC
• Paul Dawood, DDS
• Colby Forrest Dawson
• Karen Burgos Dawson, PA-C
• Rhiannon Dawson

• Family Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.