Active NPI
Orange County First Medical Group a Professional Corporation
- Internal Medicine Physician
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ORANGE COUNTY FIRST MEDICAL GROUP A PROFESSIONAL CORPORATION
- Practice address
- 1771 W. Romneya Dr.
Suite C
Anaheim, CA 92801-1817 - Phone
- (714) 520-3000
- Fax
- (714) 520-5742
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Syam Prasad Gaddam, M.D.
- Title
- Physician
- Phone
- (714) 636-9100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1771 W. Romneya Dr.
Suite C
Anaheim, CA 92801-1817
Mailing address
1771 W. Romneya Dr.
Suite C
Anaheim, CA 92801-1817
Phone (714) 520-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0095540 | Medicaid | CA |
Other names 1
- Anaheim Orange County First Medical Group
National Provider Directory
National Provider DirectoryLocations
1031 N Euclid St
Anaheim, CA 92801
Phone (714) 520-3000
1031 N Euclid St
Anaheim, CA 92801
Phone (714) 520-3000
24432 Muirlands Blvd
Ste 131
Lake Forest, CA 92630
Phone (714) 520-3000
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Anaheim, CA
- NPI 1912989773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394582400000",
"number": "1639264278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1771 W. ROMNEYA DR.",
"address_2": "SUITE C",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011817",
"telephone_number": "714-520-3000",
"fax_number": "714-520-5742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1771 W. ROMNEYA DR.",
"address_2": "SUITE C",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011817",
"telephone_number": "714-520-3000",
"fax_number": "714-520-5742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORANGE COUNTY FIRST MEDICAL GROUP A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2014-03-12",
"status": "A",
"authorized_official_last_name": "GADDAM",
"authorized_official_first_name": "SYAM",
"authorized_official_middle_name": "PRASAD",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "714-636-9100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0095540",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Anaheim Orange County First Medical Group",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Anaheim, CA
- Orange Coast Respiratory Care Services Inc
- Orange Coast Surgery Center
- Orange County Association for Mental Health
- Orange County Behavioral Sciences Inc.
- Orange County Depression & Anxiety Family Therapy
- Orange County Gastroenterological Medical Group Incorporated
- Orange County Health Care Agency
- Orange County Health Care Agency
- Orange County Health Transitions Inc.
- Orange County Healthcare Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.