Elite Primary Physicians 2 Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ELITE PRIMARY PHYSICIANS 2 INC

Practice address

200 N Harbor Blvd Ste 100
Anaheim, CA 92805-2511

Phone

(562) 631-4455

NPI assigned

Aug 4, 2021

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ishminder Singh, MD

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1881188316
  NPD Authorized official

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": "1942974738",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N HARBOR BLVD STE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052511",
            "telephone_number": "562-631-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1781 W Romneya Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928011818",
            "country_code": "US",
            "telephone_number": "562-631-4455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE PRIMARY PHYSICIANS 2 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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.