Active NPI
My MD Inc
- Internal Medicine Physician
- Anaheim, CA
National Provider Identifier
1679069298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 130994
- Legal business name
- MY MD INC
- Practice address
- 1211 W la Palma Ave Ste 503
Anaheim, CA 92801-2812 - Phone
- (714) 602-7615
- Fax
- (714) 509-1377
- NPI assigned
- Jul 6, 2018
- 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
- Mohammad Umar Farukhi
- Title
- President
- Phone
- (714) 602-7615
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 130994 | CA | Primary |
Addresses
Primary practice location
1211 W la Palma Ave Ste 503
Anaheim, CA 92801-2812
Mailing address
2680 N Santiago Blvd Ste 100
Orange, CA 92867-1859
Phone (714) 602-7615
National Provider Directory
National Provider Directory- Tax ID family
- My MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Orange, CA
- NPI 1538541800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1530835200000",
"number": "1679069298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2680 N SANTIAGO BLVD STE 100",
"city": "ORANGE",
"state": "CA",
"postal_code": "928671859",
"telephone_number": "714-602-7615",
"fax_number": "714-509-1377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 W LA PALMA AVE STE 503",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012812",
"telephone_number": "714-602-7615",
"fax_number": "714-509-1377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-06",
"last_updated": "2018-07-06",
"status": "A",
"authorized_official_last_name": "FARUKHI",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "UMAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-602-7615"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "130994",
"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 Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.