Individual provider Active NPI

Cynthia L Haq, MD

  • Family Medicine Physician
  • Anaheim, CA
National Provider Identifier
1881646917
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G152578 Issued in CA
Practice address
2441 W la Palma Ave
Anaheim, CA 92801-2658
Phone
(657) 282-6356
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26311 WI
Family Medicine Physician 207Q00000X G152578 CA Primary

Addresses

Primary practice location

2441 W la Palma Ave
Anaheim, CA 92801-2658

Mailing address

200 S Manchester Ave Ste 300
Orange, CA 92868-3219
Phone (714) 456-8888

Other practice location 1

21 S Vine St
Belleville, WI 53508
Phone (608) 424-3384

Other identifiers 1

IdentifierTypeStateIssuer
31531200MedicaidWI

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
I20180105000376 CA Practitioner - Internal Medicine 5496944704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Avalon Medical Development CorporationGroup PAC ID 1850283995, 28 clinicians

Practice addresses (Care Compare)

100 Falls Canyon Rd
Avalon, CA 90704-2990
Phone (310) 510-0700

Hospital & facility affiliations

  • Catalina Island Medical Center Hospital, Avalon, CA, CCN 051307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G152578CAMDFamily Medicine Physician
26311WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Family Medicine CurrentSince Nov 6, 2017 Accepting new patients
University of California Irvine CurrentSince Nov 6, 2017 Accepting new patients
University of California Irvine CurrentSince Nov 6, 2017 Accepting new patients
University of California Irvine Past Accepting new patients

Locations

300 W Carl Karcher Way
Anaheim, CA 92801
Phone (657) 282-6356

2441 W La Palma Ave
Anaheim, CA 92801
Phone (657) 282-6356

200 S Manchester Ave
Ste 300
Orange, CA 92868
Phone (714) 424-9001

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324

Interoperability endpoints

  • Direct secure messaging: cynthia.haq.1@22909.direct.athenahealth.com
  • Direct secure messaging: cindy.haq.1@14021.direct.athenahealth.com

Organizations & group practices 5

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

Hospital & facility affiliations 1

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1881646917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MANCHESTER AVE STE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683219",
            "telephone_number": "714-456-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 W LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012658",
            "telephone_number": "657-282-6356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 S Vine St",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "WI",
            "postal_code": "53508",
            "country_code": "US",
            "telephone_number": "608-424-3384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAQ",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "26311",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G152578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31531200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.