ANAHEIM CARDIOLOGY MEDICAL GROUP, INC
NPI 1093800617
Family Medicine - Geriatric Medicine in Anaheim, CA

Q: What is Anaheim Cardiology Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Active since October 03, 2006

1771 W ROMNEYA DR STE A, ANAHEIM, CA 92801(714) 776-5920(714) 776-3407 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2024, Aug 20, 2020 (2 updates tracked since 2020).

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About Anaheim Cardiology Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANAHEIM CARDIOLOGY MEDICAL GROUP, INC (NPI 1093800617) is a healthcare organization registered as a geriatric medicine in Anaheim, California and active in the NPI registry since October 2006. The organization lists Reza Talebi Dolouei, President, as its authorized official.

NPPES Registry Identity

NPI1093800617

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameANAHEIM CARDIOLOGY MEDICAL GROUP, INC

Location Address1771 W ROMNEYA DR STE AAnaheim, CA 92801-1817

Mailing Address1771 W Romneya Dr Ste AAnaheim, CA 92801-1817 · (714) 776-5920 · Fax (714) 776-3407

Phone(714) 776-5920

Fax(714) 776-3407

Organization SubpartNo

Authorized OfficialReza Talebi DoloueiPresident · (714) 776-5920

Enumeration DateOctober 3, 2006

Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration

NPPES CertifiedDecember 3, 2024

✔ NPI 1093800617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

1771 W ROMNEYA DR STE A, Anaheim, CA 92801

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Other Identifiers 1

MedicaidZZZ49453ZCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anaheim Cardiology Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Anaheim Cardiology Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Reza Talebi Dolouei, M.D.

Family Practice

NPI 1639431836

1771 W ROMNEYA DR STE A
Anaheim, CA 92801

(714) 776-5620

✔ PECOS✔ Accepts MedicareSame address

Jinkee Marie Javier, NP

Nurse Practitioner

NPI 1841057692

833 AMERICANA WAY UNIT 229
Glendale, CA 91210

(747) 257-5998

✔ PECOS27 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anaheim Cardiology Medical Group, Inc's NPI number?

The NPI number for Anaheim Cardiology Medical Group, Inc is 1093800617. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Anaheim Cardiology Medical Group, Inc located?

Anaheim Cardiology Medical Group, Inc is located at 1771 W Romneya Dr Ste A, Anaheim, CA 92801. The listed phone number is (714) 776-5920.

What is Anaheim Cardiology Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Anaheim Cardiology Medical Group, Inc enrolled in Medicare?

Yes. Anaheim Cardiology Medical Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Anaheim Cardiology Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Anaheim Cardiology Medical Group, Inc, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Anaheim Cardiology Medical Group, Inc was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.