Davita Medical Group Talbert California, P.c. is a
Family Medicine based in Anaheim, California. Davita Medical Group Talbert California, P.c. is licensed to practice in California (license number ) and their current practice location is
1236 N Magnolia Ave, Anaheim, California. It can be reached at their office (for appointments etc.) via phone at
(714) 995-1000.
NPI number for Davita Medical Group Talbert California, P.c. is 1477554012 and their current mailing address is P.o. Box 6400, Torrance, California. Davita Medical Group Talbert California, P.c.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1477554012.
Healthcare Provider's Profile
| Full Name | Davita Medical Group Talbert California, P.c. |
|---|
| Type | Facility |
|---|
| Speciality | Family Medicine |
|---|
| Location | 1236 N Magnolia Ave, Anaheim, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1477554012
- Provider Enumeration Date: 08/04/2005
- Last Update Date: 08/19/2019
Medical Identifiers
Medical identifiers for Davita Medical Group Talbert California, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477554012 | NPI | - | NPPES |
| GR0077863 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (California) | Secondary |
| 207K00000X | Allergy & Immunology | (California) | Secondary |
| 207N00000X | Dermatology | (California) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | (California) | Secondary |
| 207Q00000X | Family Medicine | (California) | Primary |
| 207R00000X | Internal Medicine | (California) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (California) | Secondary |
| 207W00000X | Ophthalmology | (California) | Secondary |
| 207Y00000X | Otolaryngology | (California) | Secondary |
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | (California) | Secondary |
| 208000000X | Pediatrics | (California) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (California) | Secondary |
| 208600000X | Surgery | (California) | Secondary |
| 208800000X | Urology | (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Davita Medical Group Talbert California, P.c. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Davita Medical Group Talbert California, P.c.
P.o. Box 6400,
Torrance, CA 90504-6400
Ph: (310) 783-5552 | Davita Medical Group Talbert California, P.c.
1236 N Magnolia Ave,
Anaheim, CA 92801-2607
Ph: (714) 995-1000 |
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