Organization Active NPI

Visiting Nurse Advanced Infusion Systems - Anaheim

  • Home Infusion Therapy Pharmacy
  • Anaheim, CA
National Provider Identifier
1558361758
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
PHY46733 Issued in CA
Legal business name
VISITING NURSE ADVANCED INFUSION SYSTEMS - ANAHEIM
Practice address
3822 E la Palma Ave
Anaheim, CA 92807-1713
Phone
(714) 533-7400
Fax
(714) 535-3098
NPI assigned
Jul 28, 2005
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Mr. Robert Barany
Title
General Manager
Phone
(714) 533-7400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X PHY46733 CA
Home Infusion Therapy Pharmacy 3336H0001X PHY46733 CA Primary

Addresses

Primary practice location

3822 E la Palma Ave
Anaheim, CA 92807-1713

Mailing address

3822 E la Palma Ave
Anaheim, CA 92807-1713
Phone (714) 533-7400

Other identifiers 1

IdentifierTypeStateIssuer
PHA458170MedicaidCA

National Provider Directory

National Provider Directory

Locations

3822 E La Palma Ave
Anaheim, CA 92807
Phone (714) 533-7400

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1558361758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 E LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071713",
            "telephone_number": "714-533-7400",
            "fax_number": "714-535-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3822 E LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071713",
            "telephone_number": "714-533-7400",
            "fax_number": "714-535-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ADVANCED INFUSION SYSTEMS - ANAHEIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "BARANY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "714-533-7400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "PHY46733",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "CA",
            "license": "PHY46733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA458170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 15, 2007; 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.