Organization Active NPI

Avisa Medical Corp

  • Obstetrics & Gynecology Physician
  • Anaheim, CA
National Provider Identifier
1689814402
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A86850 Issued in CA
Legal business name
AVISA MEDICAL CORP
Practice address
6200 E Canyon Rim Rd
109D
Anaheim, CA 92807-4317
Phone
(714) 283-0464
Fax
(714) 283-0489
NPI assigned
Mar 6, 2009
Last updated
Mar 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Authorized official

Name
Dr. Avisa Abaian, MD
Title
MD / President
Phone
(714) 283-0464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A86850 CA Primary

Addresses

Primary practice location

6200 E Canyon Rim Rd
109D
Anaheim, CA 92807-4317

Mailing address

6200 E Canyon Rim Rd
109D
Anaheim, CA 92807-4317
Phone (714) 283-0464

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1689814402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 E CANYON RIM RD",
            "address_2": "109D",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074317",
            "telephone_number": "714-283-0464",
            "fax_number": "714-283-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 E CANYON RIM RD",
            "address_2": "109D",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074317",
            "telephone_number": "714-283-0464",
            "fax_number": "714-283-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVISA MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "ABAIAN",
        "authorized_official_first_name": "AVISA",
        "authorized_official_title_or_position": "MD / PRESIDENT",
        "authorized_official_telephone_number": "714-283-0464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A86850",
            "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 Mar 6, 2009; 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.