Active NPI
Cambridge Healthcare Management Services
- Family Medicine Physician
- Anaheim, CA
National Provider Identifier
1982144705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CAMBRIDGE HEALTHCARE MANAGEMENT SERVICES
- Practice address
- 1203 E Vermont Ave
Anaheim, CA 92805-5622 - Phone
- (714) 997-2674
- NPI assigned
- Feb 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luisa Davis
- Title
- Ceo
- Phone
- (714) 448-1891
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Chiropractor | 111N00000X | |||
| Neurology Chiropractor | 111NN0400X | |||
| Orthopedic Chiropractor | 111NX0800X | |||
| Acupuncturist | 171100000X | |||
| Health Educator | 174H00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
1203 E Vermont Ave
Anaheim, CA 92805-5622
Mailing address
17853 Santiago Blvd Ste 107-207
Villa Park, CA 92861-4113
National Provider Directory
National Provider DirectoryLocations
17853 Santiago Blvd
Ste 107207
Villa Park, CA 92861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488153600000",
"number": "1982144705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17853 SANTIAGO BLVD STE 107-207",
"city": "VILLA PARK",
"state": "CA",
"postal_code": "928614113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 E VERMONT AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928055622",
"telephone_number": "714-997-2674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMBRIDGE HEALTHCARE MANAGEMENT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-27",
"last_updated": "2017-02-27",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "LUISA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-448-1891"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NN0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.