Primary and Multi-Specialty Clinics of Anaheim, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMARY AND MULTI-SPECIALTY CLINICS OF ANAHEIM, INC

Practice address

500 S Anaheim Hills Rd
Suite 230
Anaheim, CA 92807-4780

Phone

(714) 974-2820

Fax

(714) 974-1539

NPI assigned

Oct 8, 2006

Organization subpart

Yes

Parent organization

PRIMARY AND MULTI-SPECIALTY CLINICS OF ANAEHIM, INCAs reported in NPPES

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

Authorized official

Name

Dr. Mitchell W Lew, M.D.

Title

President

Phone

(714) 517-2000

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Gateway Medical Center-Anaheim Hills Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Primary and Multi Specialty Clinics of Anaheim Inc

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1053408278

  O20041216000930

  Same enrollment
• Primary and Multi Specialty Clinics of Anaheim Inc

  • Primary Care Clinic/Center
  • Anaheim, CA
  • NPI 1386356178

  O20041216000930

  Same enrollment
• Primary and Multi Specialty Clinics of Anaheim Inc

  • Urgent Care Clinic/Center
  • Anaheim, CA
  • NPI 1548342728

  O20041216000930

  Same enrollment
• Primary and Multi-Specialty Clinics of Anaheim, Inc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1861907024

  O20041216000930

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Primary and Multi-Specialty2 organizations share this tax ID, including this one

Part of

Primary and Multi-Specialty

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Primary and Multi-Specialty Clinics of Anaheim, Inc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1861907024
  NPD tax ID

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

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

• Soheil Samvatian, M.D.

  • Adult Medicine Physician
  • Tustin, CA
  • NPI 1356596233

  Family Medicine

  NPD

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

{
    "created_epoch": "1160265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1962599183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N EUCLID ST STE 400",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014131",
            "telephone_number": "714-517-2019",
            "fax_number": "714-490-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD",
            "address_2": "SUITE 230",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074780",
            "telephone_number": "714-974-2820",
            "fax_number": "714-974-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY AND MULTI-SPECIALTY CLINICS OF ANAHEIM, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY AND MULTI-SPECIALTY CLINICS OF ANAEHIM, INC",
        "enumeration_date": "2006-10-08",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "LEW",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-517-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0099850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Medical Center-Anaheim Hills",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gateway Medical Center-Anaheim Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Antonette Price-Dolman, SLPA
• Susanna Gail Prim, MS CCC SLP
• Primary and Multi Specialty Clinics of Anaheim Inc
• Primary and Multi Specialty Clinics of Anaheim Inc
• Primary and Multi Specialty Clinics of Anaheim Inc
• Prime Healthcare Anaheim LLC
• Prime Healthcare Anaheim Regional LLC
• Prime Healthcare Anaheim, LLC
• Prime Healthcare Anaheim, LLC
• Donald J. Prime, MD

• 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 Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.