AMISTAD MULTI SPECIALTY MEDICAL GROUP INC. (NPI# 1912556721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912556721 |
| Entity Type | Organization |
| Organization Name | AMISTAD MULTI SPECIALTY MEDICAL GROUP INC. |
| Practice Address |
201 S Broadway Santa Ana CA 92701-5633 |
| Practice Telephone | 7145714941 |
| Practice Fax Number | 7145714941 |
| Mailing Telephone | 7145714941 |
| Mailing Fax Number | 7145714941 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-07 |
| Authorized Official Name | DR. AJAY G MEKA (PRESIDENT & CEO) |
| Authorized Official Telephone | 7145714941 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17822 Beach Blvd Ste 215, Huntington Beach, CA 926477186 | 7148472576 |
| Street Address |
201 S BROADWAY |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92701-5633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932214657 | Ajay G. Meka M.d. Inc. | Internal Medicine | 201 S Broadway, Santa Ana, CA 92701-5633 | 2006-08-21 |
| 1427663368 | Amg Ipa | Health Maintenance Organization | 201 S Broadway, Santa Ana, CA 92701-5633 | 2020-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
| 1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
| 1750873758 | Eileen Fernandez | Counselor | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 2018-06-05 |
| Find all providers in zip 92701 | ||||
| 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 |
|---|---|---|---|---|
| 1467656223 | Archway Medical Group, Inc | Internal Medicine | 999 N Tustin Ave Ste 15, Santa Ana, CA 92705-6504 | 2007-06-13 |
| 1336227792 | Jerrold Cantor, Md, Inc | Internal Medicine | 2621 S Bristol St Ste 305, Santa Ana, CA 92704-5719 | 2006-11-02 |
| 1285656835 | Nabil Charle Morcos | Internal Medicine | 999 N Tustin Ave Suite 112, Santa Ana, CA 92705-3528 | 2006-07-24 |
| 1609802552 | Alaa Youssef Afifi | Internal Medicine | 2200 E Fruit St, Suite 207, Santa Ana, CA 92701-4479 | 2006-06-23 |
| 1982674305 | Michael Thomas Mumford | Internal Medicine | 2740 S Bristol St, Suite 216, Santa Ana, CA 92704-6209 | 2006-01-26 |
| 1124022850 | John Dean Baker | Internal Medicine | 801 N Tustin Ave Ste 706, Santa Ana, CA 92705-3611 | 2005-06-10 |
| 1508019134 | Noel E Johanson Md Inc | Internal Medicine | 720 N Tustin Ave, Ste 201, Santa Ana, CA 92705-3606 | 2008-10-28 |
| 1942452271 | Sean Ken Hirota | Internal Medicine | 801 N. Tustin Ave., #705, Santa Ana, CA 92705-3611 | 2008-10-17 |
| 1104081710 | Harinder S Gogia Md Inc | Internal Medicine | 801 N Tustin Ave, Suite 706, Santa Ana, CA 92705-3612 | 2008-07-23 |
| 1992979702 | R. Nihal Goonetilleke Inc. | Internal Medicine | 999 N. Tustin Ave., 224, Santa Ana, CA 92705-6506 | 2008-04-14 |
| Find all providers in SANTA ANA | ||||
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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.