NPIMap

Individual provider Active NPI

Linda M. Warner, D.O.

  • Family Medicine Physician
  • Villa Park, CA
National Provider Identifier
1609814854
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6111 Issued in CA
Practice address
17871 Santiago Blvd Ste 206
Villa Park, CA 92861-4118
Phone
(714) 974-1362
Fax
(714) 974-3145
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A6111 CA Primary

Addresses

Primary practice location

17871 Santiago Blvd Ste 206
Villa Park, CA 92861-4118

Mailing address

17871 Santiago Blvd Ste 206
Villa Park, CA 92861-4118
Phone (714) 974-1362

Other identifiers 5

IdentifierTypeStateIssuer
056976OtherHEALTH NET ID #
080050783OtherRAILROAD
00AX61110MedicaidCA
20A6111OtherCALICENSE
020A61110OtherBLUE SHIELD ID #

Other names 1

  • Dr. Linda M. Arre Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051130000886 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6204724826 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A6111CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Family Medicine Past Accepting new patients
Caremore Medical Group Inc Family Medicine Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Kathleen Gallaher, M.D. Family Medicine Past Accepting new patients
Caremore Medical Group Family Medicine Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1609814854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17871 SANTIAGO BLVD STE 206",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "928614118",
            "telephone_number": "714-974-1362",
            "fax_number": "714-974-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17871 SANTIAGO BLVD STE 206",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "928614118",
            "telephone_number": "714-974-1362",
            "fax_number": "714-974-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "LINDA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET ID #",
            "identifier": "056976",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "080050783",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX61110",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "20A6111",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID #",
            "identifier": "020A61110",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "ARRE",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Villa Park, CA

Sources for this page

Verify at the official NPI Registry.