Organization Active NPI

Palmyra Medical Group Inc

  • Hospitalist Physician
  • Anaheim, CA
National Provider Identifier
1619307410
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
PALMYRA MEDICAL GROUP INC
Practice address
7521 E Hollow Oak Rd
Anaheim, CA 92808-1429
Phone
(657) 224-9468
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Dr. Mohamad Albouidani
Title
M.D
Phone
(657) 224-9468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X CA Primary

Addresses

Primary practice location

7521 E Hollow Oak Rd
Anaheim, CA 92808-1429

Mailing address

7521 E Hollow Oak Rd
Anaheim, CA 92808-1429
Phone (657) 224-9468

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1619307410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 E HOLLOW OAK RD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081429",
            "telephone_number": "657-224-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7521 E HOLLOW OAK RD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081429",
            "telephone_number": "657-224-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMYRA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "ALBOUIDANI",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "657-224-9468",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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, 2013; 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.