Active NPI
Healthsource of Anaheim Inc
- Chiropractor
- Anaheim, CA
National Provider Identifier
1851440226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- HEALTHSOURCE OF ANAHEIM INC
- Practice address
- 716 S State College Blvd
Anaheim, CA 92806-4526 - Phone
- (714) 772-7100
- NPI assigned
- Jan 8, 2007
- 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
- Amal F Cooper, D C
- Title
- President
- Phone
- (714) 772-7100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
716 S State College Blvd
Anaheim, CA 92806-4526
Mailing address
4760 Devonport Cir
Yorba Linda, CA 92887-2609
Phone (714) 772-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ05681Z | Other | CA | BLUE SHIELD GROUP ID |
National Provider Directory
National Provider DirectoryLocations
504 N State College Blvd
Anaheim, CA 92806
Phone (714) 772-7100
716 S State College Blvd
Anaheim, CA 92806
Phone (714) 772-7100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Anaheim, CA
- NPI 1558764761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237852800000",
"number": "1851440226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4760 DEVONPORT CIR",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928872609",
"telephone_number": "714-772-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 S STATE COLLEGE BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928064526",
"telephone_number": "714-772-7100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHSOURCE OF ANAHEIM INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2009-03-24",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "AMAL",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-772-7100",
"authorized_official_credential": "D C"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GROUP ID",
"identifier": "ZZZ05681Z",
"state": "CA"
}
],
"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 24, 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.