| My Md Inc | |
|
2680 N Santiago Blvd Suite 100 Orange CA 92867-1859 | |
| (714) 356-6105 | |
| Not Available |
| Full Name | My Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2680 N Santiago Blvd, Orange, California |
| Authorized Official Name and Position | Salma Ahmed Farukhi (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7143566105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Md Inc 2680 N Santiago Blvd Suite 100 Orange CA 92867-1859 Ph: () - | My Md Inc 2680 N Santiago Blvd Suite 100 Orange CA 92867-1859 Ph: (714) 356-6105 |
| NPI Number | 1538541800 |
|---|---|
| Provider Enumeration Date | 06/23/2015 |
| Last Update Date | 06/23/2015 |
| Medicare PECOS PAC ID | 1759699499 |
|---|---|
| Medicare Enrollment ID | O20150930001402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538541800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 130994 (California) | Primary |
| Provider Name | Usha P Iyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811055668 PECOS PAC ID: 0648431908 Enrollment ID: I20120412000531 |
| Provider Name | Mohammad Umar Farukhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578791661 PECOS PAC ID: 7517123656 Enrollment ID: I20120718000429 |
| Provider Name | Salma A Farukhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982966883 PECOS PAC ID: 3870808397 Enrollment ID: I20150812009296 |
| Provider Name | Stefan Chesbro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093214421 PECOS PAC ID: 1557623378 Enrollment ID: I20180314002157 |
| Provider Name | Faisal Ahmed |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1427314855 PECOS PAC ID: 5092077396 Enrollment ID: I20180327000678 |
| Provider Name | Sarah N Ahmed |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477959096 PECOS PAC ID: 9931472818 Enrollment ID: I20180820002140 |
| Provider Name | Christina M O'guinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265048151 PECOS PAC ID: 3971910753 Enrollment ID: I20210323000410 |
| Provider Name | Lucia De La Vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487379004 PECOS PAC ID: 3678941770 Enrollment ID: I20221121002945 |
| Provider Name | Haroun Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326668732 PECOS PAC ID: 5799133609 Enrollment ID: I20231201002003 |
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