FRED MELEK SHALOM (NPI# 1215927439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215927439 |
| Entity Type | Individual |
| Full Name | FRED MELEK SHALOM |
| Other Name | FEREYDOON MELEK SHALOM |
| Credential | MD |
| Practice Address |
3010 W Orange Ave Suite 506 Anaheim CA 92804-3169 |
| Practice Telephone | 7142200263 |
| Practice Fax Number | 7149522968 |
| Mailing Telephone | 7142200263 |
| Mailing Fax Number | 7149522968 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2010-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A33545 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A335450 | 05 |
| Street Address |
3010 W ORANGE AVE SUITE 506 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92804-3169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205826583 | Kamran Haghighat | Internal Medicine | 3010 W Orange Ave, Ste. 302, Anaheim, CA 92804-3169 | 2005-10-26 |
| 1598126591 | Medphaco Inc | Pharmacy | 3010 W Orange Ave, #101, Anaheim, CA 92804-3170 | 2016-03-18 |
| 1255740304 | Huan Nguyen | Pharmacist | 3010 W Orange Ave, Suite 101, Anaheim, CA 92804-3169 | 2014-08-02 |
| 1356756712 | M. Rajudin, M.d., Inc. | Internal Medicine | 3010 W Orange Ave, Suite 404, Anaheim, CA 92804-3169 | 2014-06-24 |
| 1306276704 | William J Kopelman Inc | Clinic/Center | 3010 W Orange Ave, Suite 503, Anaheim, CA 92804-3169 | 2013-11-21 |
| 1831446848 | United Vascular Access Center Corp | Clinic/Center | 3010 W Orange Ave, Suite 500, Anaheim, CA 92804-3169 | 2012-08-08 |
| 1205131448 | Memorialcare Medical Foundation | Internal Medicine | 3010 W Orange Ave, #302, Anaheim, CA 92804-3169 | 2011-01-19 |
| 1073813556 | Hwa Mu Lee, M.d., Inc | Internal Medicine | 3010 W Orange Ave, Suite 103, Anaheim, CA 92804-3170 | 2010-10-29 |
| 1427231463 | Bingbing Zhu | Acupuncturist | 3010 W Orange Ave, Ste 507, Anaheim, CA 92804 | 2007-12-13 |
| 1437338340 | Wayne T Nishigaya, M.d. | Family Medicine | 3010 W Orange Ave, Suite 201, Anaheim, CA 92804-3169 | 2007-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
| 1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
| 1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
| 1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
| 1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
| Find all providers in zip 92804 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083841720 | David Juhyuk Suk | Internal Medicine | 710 N Euclid St Ste 214, Anaheim, CA 92801 | 2009-06-21 |
| 1740435197 | Ramesh R. Patel Md Inc. | Internal Medicine | 1132 N Brookhurst St, Suite A, Anaheim, CA 92801-1789 | 2008-11-26 |
| 1326219783 | Alicia Montanez | Internal Medicine | 1211 W La Palma Ave Ste 408, Anaheim, CA 92801-2806 | 2008-03-13 |
| 1164483244 | Raveen Ramesh Arora | Internal Medicine | 1712 W Medical Center Dr, Anaheim, CA 92801-1801 | 2006-03-29 |
| 1689679607 | Juan Carlos Quiros | Internal Medicine | 1735 W Romneya Dr, Anaheim, CA 92801-1804 | 2005-06-16 |
| 1760721310 | Khemka and Khemka M.d., Inc. | Internal Medicine | 1211 W La Palma Ave, Suite 410, Anaheim, CA 92801-2863 | 2013-02-01 |
| 1467741983 | David S Kramer Md A Professional Corporation | Internal Medicine | 3356 W Ball Rd, 206, Anaheim, CA 92804-3702 | 2011-04-05 |
| 1306011150 | David S Kramer Md A Professional Corporation | Internal Medicine | 3356 W Ball Rd, Suite 206, Anaheim, CA 92804-3702 | 2008-04-23 |
| 1891970729 | Advanced Healthcare Physicians, Inc | Internal Medicine | 3055 W Orange Ave, St. 201, Anaheim, CA 92804-3159 | 2008-01-09 |
| 1508082025 | Oscar A Matthews M.d. | Internal Medicine | 3010 W Orange Ave, Suite 510, Anaheim, CA 92804-3169 | 2007-04-17 |
| Find all providers in ANAHEIM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.