Organization Active NPI

Lincoln Diagnostic Center

  • Cardiology Technician
  • Anaheim, CA
National Provider Identifier
1811375488
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiology TechnicianTaxonomy code 246W00000X
Legal business name
LINCOLN DIAGNOSTIC CENTER
Practice address
1775 E Lincoln Ave
Suite 102
Anaheim, CA 92805-4366
Phone
(714) 384-3216
Fax
(714) 388-3802
NPI assigned
May 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Authorized official

Name
Laura Lynne Macdonald
Title
Cfo
Phone
(714) 384-3216

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X
Cardiology TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246W00000X Primary

Addresses

Primary practice location

1775 E Lincoln Ave
Suite 102
Anaheim, CA 92805-4366

Mailing address

151 Kalmus Dr
Suite K-1
Costa Mesa, CA 92626-5988
Phone (714) 384-3216

National Provider Directory

National Provider Directory

Locations

1775 E Lincoln Ave
Ste 102
Anaheim, CA 92805
Phone (714) 384-3216

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1811375488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 KALMUS DR",
            "address_2": "SUITE K-1",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265988",
            "telephone_number": "714-384-3216",
            "fax_number": "714-388-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 E LINCOLN AVE",
            "address_2": "SUITE 102",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054366",
            "telephone_number": "714-384-3216",
            "fax_number": "714-388-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-384-3216"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Cardiology",
            "state": null,
            "license": null,
            "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 May 14, 2015; 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.