Michael S. Provenghi, MD
Family Medicine in Anaheim, CA. Individual provider (NPI-1).
NPI number1265503239
StatusActive
Last updated in NPPESDec 1, 2021
Details
- NPI
- 1265503239
- Entity type
- Individual (NPI-1)
- Name
- Michael S. Provenghi
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2006
- Last updated
- Dec 1, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A86795 | CA | Yes |
Practice location
441 N Lakeview AveAnaheim, CA 92807-3028
Phone 888-988-2800
Mailing address
441 N Lakeview AveAnaheim, CA 92807-3028
Phone 888-988-2800
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 Family Medicine Physician providers in Anaheim, CA
- A C Urgent Care INCNPI 1114457538
- Adan Abarca, MDNPI 1760553689
- Access Primary Care Physicians, INC.NPI 1083267736
- Advanced Family Medical Group, INCNPI 1710091103
- Abdel Karim AhmadNPI 1124644752
- Carol Ann Ahmed, D.O.NPI 1598962961
- Aitmed INC.NPI 1861983637
- Freddy R. Alamshaw, DONPI 1972674877
- Ali R Tajik MD INCNPI 1528285848
- Ana Hernandez Schneider MD INCNPI 1669655734
All 303 Family Medicine Physician providers in Anaheim · All 11,123 providers in Anaheim
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.