NPIMap

Organization Active NPI

Anthem Medical Specialists Inc

  • Nursing Care Agency
  • Orange, CA
National Provider Identifier
1740003714
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
ANTHEM MEDICAL SPECIALISTS INC
Practice address
1940 W Orangewood Ave.
Suite 110 #2
Orange, CA 92868-5042
Phone
(909) 996-2508
NPI assigned
Nov 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Mrs. Gladys Smedley
Title
Office Manager
Phone
(909) 996-2508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

1940 W Orangewood Ave.
Suite 110 #2
Orange, CA 92868-5042

Mailing address

7786 Lemon Pepper Ave
Fontana, CA 92336-3407
Phone (909) 996-2508

Other names 1

  • Anthem Wounds Specialists Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250804003611 CA Part B Supplier - Clinic/Group Practice 9436667169 Receives reassigned benefits from 9 practitioners
Practice locations: Orange, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1740003714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7786 LEMON PEPPER AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363407",
            "telephone_number": "909-996-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 W ORANGEWOOD AVE.",
            "address_2": "SUITE 110 #2",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928685042",
            "telephone_number": "909-996-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHEM MEDICAL SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "SMEDLEY",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-996-2508",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anthem Wounds Specialists Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.