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DAVITA MEDICAL GROUP TALBERT CALIFORNIA P.C. NPI 1477554012


NPI Information

NPI: 1477554012
Provider Name: DAVITA MEDICAL GROUP TALBERT CALIFORNIA, P.C.

Doing Business As: TALBERT MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1236 N MAGNOLIA AVE
ANAHEIM, CA
ZIP 92801
Phone: (714) 995-1000
Get Directions

DAVITA MEDICAL GROUP TALBERT CALIFORNIA, P.C. is a family medicine in Anaheim, CA. The provider is 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. DAVITA MEDICAL GROUP TALBERT CALIFORNIA, P.C. NPI is 1477554012. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Talbert Medical Group.

The provider's business location address is:

1236 N MAGNOLIA AVE
ANAHEIM, CA
ZIP 92801-607
Phone: (714) 995-1000
Fax: (714) 828-7926

The provider's authorized official is John G. Liethen .
The authorized official title is Secretary and has the following contact phone number (952) 205-6262.

The enumeration date for this NPI number is 8/4/2005 and was last updated on 8/19/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207PE0004XEmergency MedicineEmergency Medical ServicesCALIFORNIANo
2207R00000XInternal MedicineCALIFORNIANo
3207V00000XObstetrics & GynecologyCALIFORNIANo
4207N00000XDermatologyCALIFORNIANo
5208000000XPediatricsCALIFORNIANo
6207W00000XOphthalmologyCALIFORNIANo
7207Y00000XOtolaryngologyCALIFORNIANo
8207ZP0105XPathologyClinical Pathology/Laboratory MedicineCALIFORNIANo
92084N0400XPsychiatry & NeurologyNeurologyCALIFORNIANo
10208600000XSurgeryCALIFORNIANo
11208800000XUrologyCALIFORNIANo
12207Q00000XFamily MedicineCALIFORNIAYes
13207K00000XAllergy & ImmunologyCALIFORNIANo
14152W00000XOptometristCALIFORNIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0077863MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.