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City Of Anaheim

Nurse Practitioner in Anaheim, CA. Organization (NPI-2).

NPI number1104786326
StatusActive
Last updated in NPPESNov 12, 2025

Details

NPI
1104786326
Entity type
Organization (NPI-2)
Legal business name
City Of Anaheim
Organization subpart
No
Enumeration date
Nov 12, 2025
Certification date
Nov 12, 2025
Last updated
Nov 12, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner––Yes

Practice location

500 E Broadway
Anaheim, CA 92805-4005

Phone 714-765-4000

Mailing address

201 S Anaheim Blvd Ste 300
Anaheim, CA 92805-3858

Phone 714-765-4000

Authorized official

Robert Stuart
Battalion Chief
7147654035

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner providers in Anaheim, CA

All 104 Nurse Practitioner providers in Anaheim · All 11,123 providers in Anaheim

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