Organization Active NPI

My MD Inc

  • Internal Medicine Physician
  • Anaheim, CA
National Provider Identifier
1679069298
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
130994 Issued in CA
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

Updated by the provider on Jul 6, 2018

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

Authorized official

Name
Mohammad Umar FarukhiNPI 1578791661
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.