Active NPI
David Holstein, M.D.
- Neurology Physician
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- C32277
- Practice address
- 1211 W la Palma Ave Ste 710
Anaheim, CA 92801-2814 - Phone
- (714) 730-0311
- Fax
- (714) 922-8093
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | C32277 | CA | Primary |
Addresses
Primary practice location
1211 W la Palma Ave Ste 710
Anaheim, CA 92801-2814
Mailing address
PO Box 17957
Irvine, CA 92623-7957
Phone (714) 730-0311
Other names 1
- Dr. Clyde David Holstein
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Saint Louis University School of Medicine, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1211 W la Palma Ave
Suite 710
Anaheim, CA 92801-2814
Phone (714) 730-0311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32277 | CA | MD | Pharmacist |
| C32277 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange County Neurological Medical Group Inc | Neurology | Current | Accepting new patients |
| Memorial Medical Group Inc | Past | Accepting new patients |
Locations
1211 W La Palma Ave
Ste 608
Anaheim, CA 92801
Phone (714) 744-6320
1015 S Anaheim Blvd
Anaheim, CA 92801
Phone (714) 774-1450
1211 W La Palma Ave
Ste 710
Anaheim, CA 92801
Phone (657) 888-9199
3033 W Orange Ave
Anaheim, CA 92804
Phone (714) 229-5649
7677 Center Ave
Ste 200
Huntington Beach, CA 92647
Phone (714) 952-0744
801 N Tustin Ave
Ste 306
Santa Ana, CA 92705
Phone (714) 543-4880
1001 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-3555
13420 Newport Ave
Ste K
Tustin, CA 92780
Phone (714) 669-3105
13420 Newport Ave
Ste E
Tustin, CA 92780
Phone (714) 352-5550
12575 Newport Ave
Ste C
Tustin, CA 92780
Phone (714) 544-1355
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Anaheim, CA
- NPI 1023110905
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551052800000",
"number": "1518987585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17957",
"city": "IRVINE",
"state": "CA",
"postal_code": "926237957",
"telephone_number": "714-730-0311",
"fax_number": "714-707-4762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 W LA PALMA AVE STE 710",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012814",
"telephone_number": "714-730-0311",
"fax_number": "714-922-8093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLSTEIN",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2019-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "C32277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CLYDE",
"last_name": "HOLSTEIN",
"middle_name": "DAVID",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
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 Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.