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NPI 1831355544ActiveOrganization· Preferred Provider Organization· Anaheim, CA

Preferred Provider Organization in Anaheim, California, registered in NPPES in August 2008. The authorized official on file is Stacey Max Nijst, I9910608, Personal Service Coordinator.

Overview

NPI1831355544
StatusActive
Entity typeOrganization
NPI issuedAug 1, 2008
Last updated in NPPESAug 1, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000XI9910608CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Preferred Provider Organization providers in Anaheim

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