Individual provider Active NPI

David Holstein, M.D.

  • Neurology Physician
  • Anaheim, CA
National Provider Identifier
1518987585
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
C32277 Issued in CA
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

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120522000790 CA Practitioner - Neurology 2860655206 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
32277CAMDPharmacist
C32277CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Neurological Medical Group Inc Neurology CurrentSince Jan 1, 1973 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.

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

Verify at the official NPI Registry.