Individual provider Active NPI

Terry M Welsh, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Anaheim, CA
National Provider Identifier
1700881786
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A62839 Issued in CA
Practice address
1111 W la Palma Ave
Department of Pathology
Anaheim, CA 92801-2804
Phone
(714) 999-6075
NPI assigned
Jun 16, 2005
Last updated
Oct 4, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A62839 CA Primary

Addresses

Primary practice location

1111 W la Palma Ave
Department of Pathology
Anaheim, CA 92801-2804

Mailing address

3086 Ceylon Rd
Costa Mesa, CA 92626-2306
Phone (714) 432-1385

Other identifiers 1

IdentifierTypeStateIssuer
00A628390MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070627000662 CA Practitioner - Pathology 8628177920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Kansas School of Med (KC/Wich/Sal), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 W la Palma Ave
Anaheim, CA 92801-2804
Phone (714) 774-1450

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
62839CAMDDentist
A62839CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates of Anaheim a Professional Medical Corporation Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2007 Accepting new patients
Jason R Koh DO Inc Past Accepting new patients

Locations

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1700881786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3086 CEYLON RD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262306",
            "telephone_number": "714-432-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W LA PALMA AVE",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012804",
            "telephone_number": "714-999-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSH",
        "first_name": "TERRY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A62839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A628390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.