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KETCHUM HEALTH MEDICAL CLINIC
NPI 1174037493
Clinic/Center - Multi-Specialty in Anaheim, CA

Active since November 22, 2017
5460 E LA PALMA AVE, ANAHEIM, CA 92807(714) 463-7500 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 2, 2023, Nov 22, 2017 (2 updates tracked since 2017).

About Ketchum Health Medical Clinic NPPES

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

KETCHUM HEALTH MEDICAL CLINIC (NPI 1174037493) is a healthcare organization registered as a multi-specialty in Anaheim, California and active in the NPI registry since November 2017. The organization lists Brandon Grove, Director Of Medical Clinics, as its authorized official.

NPPES Registry Identity

NPI1174037493
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMARSHALL B. KETCHUM UNIVERSITY
Location Address5460 E LA PALMA AVEAnaheim, CA 92807-2023
Mailing Address5460 E La Palma AveAnaheim, CA 92807-2023
Phone(714) 463-7500
Organization SubpartNo
Authorized OfficialBrandon GroveDirector Of Medical Clinics · (714) 992-7818
Enumeration DateNovember 22, 2017
Last NPPES UpdateJanuary 18, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
✔ NPI 1174037493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedPharmacistTaxonomy 183500000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
5460 E LA PALMA AVE, Anaheim, CA 92807
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Other Names 1

Doing Business AsKetchum Health Medical Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENNA LO
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500
MARITA BOLIS
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500
NATHAN AN PHAM
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500
MINH-HAN-HANNAH NGUYEN
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500
TAYLOR PHUONG-ANH PHAM
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (856) 723-7377
CLAUDETTE CONTRERAS
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500
EMMA MEI LING YUE OD
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500
BRYAN HIEU CHAU
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500

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 Marshall B. Ketchum University's NPI number?

The NPI number for Marshall B. Ketchum University is 1174037493. It was assigned to this organization in the NPPES registry on November 22, 2017. The provider is doing business as Ketchum Health Medical Clinic.

Where is Marshall B. Ketchum University located?

Marshall B. Ketchum University is located at 5460 E La Palma Ave, Anaheim, CA 92807. The listed phone number is (714) 463-7500.

What is Marshall B. Ketchum University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Marshall B. Ketchum University was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.