Elite Primary Physicians Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ELITE PRIMARY PHYSICIANS INC

Practice address

1781 W Romneya Dr Ste B
Anaheim, CA 92801-1818

Phone

(562) 631-4455

Fax

(714) 758-9197

NPI assigned

Aug 4, 2021

Last updated

Aug 4, 2021By 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

Ishminder Singh, MDNPI 1881188316

Title

President

Phone

(562) 631-4455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ishminder Singh, MD

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1881188316
  Medicare reassignment NPD Authorized official
• Miriam Thomas, PA-C

  • Physician Assistant
  • Fullerton, CA
  • NPI 1598480436
  Medicare reassignment

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1922772862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 W ROMNEYA DR STE B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011818",
            "telephone_number": "562-631-4455",
            "fax_number": "714-758-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 W ROMNEYA DR STE B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011818",
            "telephone_number": "562-631-4455",
            "fax_number": "714-758-9197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Harbor Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928052511",
            "country_code": "US",
            "telephone_number": "562-631-4455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE PRIMARY PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "ISHMINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-631-4455",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Elias
• Natalie Sarai Elisarraraz
• Elite Diagnostic, LLC (Elite Diagnostic Imaging)
• Elite Medtrans LLC
• Elite Primary Physicians 2 Inc
• Eliza Berris DDS III Inc (I-Heart Dentistry)
• Amy Elizalde
• Jazmin Elizalde
• Jennifer Elizalde
• Adriana Elizarraras Alvarado

• Family Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.