Anaheim Surgical Associates

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ANAHEIM SURGICAL ASSOCIATES

Doing business as

Anaheim Surgical Assoc Medical GRP

Practice address

1211 W la Palma Ave
Suite 705
Anaheim, CA 92801-2815

Phone

(714) 772-6701

Fax

(714) 772-5240

NPI assigned

Mar 16, 2007

Last updated

Oct 8, 2018By 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

Ana Flores

Title

Office Manager

Phone

(714) 772-6701

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ANAHEIM SURGICAL ASSOC MEDICAL GRP Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 4

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.

• Hugh Sung Chung

  • Surgery Physician
  • Orange, CA
  • NPI 1639309156
  Medicare reassignment Care Compare group NPD
• Betty W.S. Hou, MD

  • Surgery Physician
  • Riverside, CA
  • NPI 1033169065
  Medicare reassignment Care Compare group
• Grace H. Jeon, M.D.

  • Surgery Physician
  • Anaheim, CA
  • NPI 1174521306
  Medicare reassignment Care Compare group
• Anna Houterman, MD

  • Surgery Physician
  • Laguna Hills, CA
  • NPI 1164637435
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1598899718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE",
            "address_2": "SUITE # 705",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012815",
            "telephone_number": "714-772-6701",
            "fax_number": "714-772-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE",
            "address_2": "SUITE 705",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012815",
            "telephone_number": "714-772-6701",
            "fax_number": "714-772-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-772-6701"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0766912",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANAHEIM SURGICAL ASSOC MEDICAL GRP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anaheim Plaza Pharmacy Inc (Anaheim Medical Plaza Pharmacy)
• Anaheim Point Healthcare & Wellness Centre LP (The Abby Pavilion Healthcare Center of Anaheim)
• Anaheim Point Healthcare & Wellness Centre, LP (The Abby Pavilion Healthcare Center of Anaheim)
• Anaheim Pulmonary & Critical Care Group Inc
• Anaheim Senior Care LLC
• Anaheim Surgicenter Inc
• Anaheim Terrace Care Center, LLC (Anaheim Terrace Care Center)
• Anaheim Union High School District
• Anaheim Union High School District
• Anaheim Union High School District CHDP Clinic

• Specialist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.