Anaheim General Hospital

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

Last updated

Dec 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Clara Ruth Blom

Title

VP/Hospital Cfo

Phone

(310) 463-8273

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "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": "HSD30173H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30173H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP30173H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40173H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anaheim Family Care
• Anaheim Family Medical Inc
• Anaheim First Family Dental Inc.
• Anaheim General Hospital
• Anaheim General Hospital
• Anaheim General Hospital LTD
• Anaheim Global Medical Center, Inc (Anaheim Global Medical Center)
• Anaheim Global Medical Center, Inc (Anaheim Global Medical Center)
• Anaheim Health Care Center
• Anaheim Health Care Center

• General Acute Care Hospital in Anaheim, CA
• Providers in Anaheim, CA by specialty
• General Acute Care Hospital in California

• 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.