DAVITA MEDICAL GROUP TALBERT CALIFORNIA, P.C. (NPI# 1477554012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477554012 |
| Entity Type | Organization |
| Organization Name | DAVITA MEDICAL GROUP TALBERT CALIFORNIA, P.C. |
| Other Organization Name | TALBERT MEDICAL GROUP |
| Practice Address |
1236 N Magnolia Ave Anaheim CA 92801-2607 |
| Mailing Address |
P.o. Box 6400 Torrance CA 90504-6400 |
| Practice Telephone | 7149951000 |
| Practice Fax Number | 7148287926 |
| Mailing Telephone | 3107835552 |
| Mailing Fax Number | 3107835581 |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2019-08-19 |
| Authorized Official Name | JOHN G. LIETHEN (SECRETARY) |
| Authorized Official Telephone | 9522056262 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
CA | Allopathic & Osteopathic Physicians | |
| N | 207R00000X | Internal Medicine | CA | Allopathic & Osteopathic Physicians | |
| N | 207V00000X | Obstetrics & Gynecology | CA | Allopathic & Osteopathic Physicians | |
| N | 207N00000X | Dermatology | CA | Allopathic & Osteopathic Physicians | |
| N | 208000000X | Pediatrics | CA | Allopathic & Osteopathic Physicians | |
| N | 207W00000X | Ophthalmology | CA | Allopathic & Osteopathic Physicians | |
| N | 207Y00000X | Otolaryngology | CA | Allopathic & Osteopathic Physicians | |
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
CA | Allopathic & Osteopathic Physicians | |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
CA | Allopathic & Osteopathic Physicians | |
| N | 208600000X | Surgery | CA | Allopathic & Osteopathic Physicians | |
| N | 208800000X | Urology | CA | Allopathic & Osteopathic Physicians | |
| Y | 207Q00000X | Family Medicine | CA | Allopathic & Osteopathic Physicians | |
| N | 207K00000X | Allergy & Immunology | CA | Allopathic & Osteopathic Physicians | |
| N | 152W00000X | Optometrist | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0077863 | 05 |
| Other Name | Type Code |
|---|---|
| Talbert Medical Group | Doing Business As Name - Organization |
| Street Address |
1236 N MAGNOLIA AVE |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92801-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083101620 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 1236 N Magnolia Ave, Anaheim, CA 92801-2607 | 2018-04-19 |
| 1720525892 | Newbury Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1236 N Magnolia Ave, Anaheim, CA 92801-2607 | 2017-01-26 |
| 1174975403 | Carmen Condraschi | Registered Nurse | 1236 N Magnolia Ave, Anaheim, CA 92801-2607 | 2016-07-11 |
| 1285012096 | Kimlien Vu | Nurse Practitioner | 1236 N Magnolia Ave, Anaheim, CA 92801-2607 | 2015-05-13 |
| 1154737492 | Izola Mary Chaney | Physician Assistant | 1236 N Magnolia Ave, Anaheim, CA 92801-2607 | 2014-07-08 |
| 1588937478 | Spectrum Pharmacy | Pharmacy | 1236 N Magnolia Ave, Anaheim, CA 92801-2607 | 2012-02-23 |
| 1093022535 | Sherlyn Lee | Dietitian, Registered | 1236 N Magnolia Ave, Anaheim, CA 92801-2607 | 2010-09-03 |
| 1437309440 | Zhigang Song | Internal Medicine | 1236 N Magnolia Ave, Anaheim, CA 92801-2607 | 2008-09-26 |
| 1811145113 | Gina Rocillo | Family Medicine | 1236 N Magnolia Ave, Anaheim, CA 92801-2607 | 2008-08-29 |
| 1881856870 | Tania Zohair Greenwood | Social Worker | 1236 N Magnolia Ave, Anaheim, CA 92801-2607 | 2008-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376178996 | Megalink Staffing Services Corp. | Non-emergency Medical Transport (VAN) | 780 N. Euclid St., Suite 207, Anaheim, CA 92801 | 2020-03-04 |
| 1669988630 | Munoz Urgent Care Inc. | Clinic/Center | 1741 W Romneya Dr., Suite A, Anaheim, CA 92801 | 2017-12-28 |
| 1922523257 | Enrique Esparza Jr. | Peer Specialist | 501 North Brookhurst Street, Anahiem, CA 92801 | 2017-08-08 |
| 1336689405 | Lan P. Tran | Pharmacist | 2308 W Huntington Ave, Anaheim, CA 92801 | 2017-03-08 |
| 1982065447 | Giselle Magdaleno | Marriage & Family Therapist | 505 N Euclid St #300, Anaheim, CA 92801 | 2016-03-11 |
| 1346605433 | Esther Chong | Nurse Practitioner | 710 N. Euclid St., 400, Anaheim, CA 92801 | 2015-12-16 |
| 1629441183 | Caremore Health Plan | Nurse Practitioner | 1182 N. Euclid Street, Anaheim, CA 92801 | 2015-11-05 |
| 1205208451 | Uyen Diem Ngo | Pharmacist | 1188 N. Euclid St., Anaheim, CA 92801 | 2015-10-28 |
| 1962873729 | Herb and Acu | Acupuncturist | 1737 W. Romneya Dr., Anaheim, CA 92801 | 2015-10-19 |
| 1437535721 | Yessenia Alvarado | Marriage & Family Therapist | 505 N. Euclid Street, Suite 300, Anaheim, CA 92801 | 2015-08-10 |
| Find all providers in zip 92801 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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|---|---|---|---|---|
| 1750928297 | Dr Ekta Sharma Md Mph Inc | Family Medicine | 905 S Canyon Heights Dr, Anaheim, CA 92808-1683 | 2019-12-03 |
| 1558924498 | Careplus Medical Clinic | Family Medicine | 5783 E La Palma Ave, Anaheim, CA 92807-2229 | 2019-04-16 |
| 1346723665 | Access California Services | Family Medicine | 631 S Brookhurst St Ste 107, Anaheim, CA 92804-3576 | 2018-09-12 |
| 1114457538 | A&c Urgent Care Inc | Family Medicine | 1000 S Anaheim Blvd Ste 200, Anaheim, CA 92805 | 2017-06-18 |
| 1205364569 | Calvin Triet Doan | Family Medicine | 925 S Euclid St, Anaheim, CA 92802-1522 | 2017-05-31 |
| 1235666744 | Maria Corazon Meris Md Inc | Family Medicine | 3400 W Ball Rd Ste 102, Anaheim, CA 92804-3735 | 2017-05-15 |
| 1255863338 | Grey Le | Family Medicine | 947 S Anaheim Blvd Ste 125, Anaheim, CA 92805-5584 | 2017-03-29 |
| 1851711014 | Anhthu T Nguyen | Family Medicine | 2140 S State College Blvd Apt 3014, Anaheim, CA 92806-0162 | 2014-04-25 |
| 1801214788 | Catherine Marks | Family Medicine | 3400 West Ball Rd, Suite 202, Anaheim, CA 92804-3735 | 2014-03-28 |
| 1982966883 | Salma Ahmed Farukhi | Family Medicine | 2040 S. Santa Cruz Street, #245, Anaheim, CA 92803-5090 | 2012-06-15 |
| 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.