Active NPI
Lincoln Diagnostic Center
- Cardiology Technician
- Anaheim, CA
National Provider Identifier
1811375488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiology Technician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | |||
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | |||
| Cardiology Technician | 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 DirectoryLocations
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.