Organization Active NPI

Anaheim General Hospital

  • General Acute Care Hospital
  • Anaheim, CA
National Provider Identifier
1881786366
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
060000079 Issued in CA
Legal business name
ANAHEIM GENERAL HOSPITAL
Practice address
3350 W Ball Road
Anaheim, CA 92804
Phone
(714) 947-5800
Fax
(949) 732-4671
NPI assigned
Sep 29, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Clara Ruth Blom
Title
VP/Hospital Cfo
Phone
(310) 463-8273

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 060000079 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

3350 W Ball Road
Anaheim, CA 92804

Mailing address

3350 W Ball Road
Anaheim, CA 92804
Phone (714) 947-5800

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
HSP30173HMedicaidCA
HSP40173HMedicaidCA
HSD30173HMedicaidCA
HSC30173HMedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 20, 2010.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1881786366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 W BALL ROAD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92804",
            "telephone_number": "714-947-5800",
            "fax_number": "949-732-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 W BALL ROAD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92804",
            "telephone_number": "714-947-5800",
            "fax_number": "949-732-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "BLOM",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "VP/HOSPITAL CFO",
        "authorized_official_telephone_number": "310-463-8273",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "060000079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP30173H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40173H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSD30173H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30173H",
            "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 Dec 20, 2010; 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.