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MEDIVERSE MEDICAL NETWORK
NPI 1487386488
General Practice in Anaheim, CA

Active since June 28, 2022
1910 S UNION ST UNIT 1082, ANAHEIM, CA 92805(818) 626-4883 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mediverse Medical Network NPPES

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

MEDIVERSE MEDICAL NETWORK (NPI 1487386488) is a healthcare organization registered as a general practice in Anaheim, California and active in the NPI registry since June 2022. The organization lists Cristina Enriquez, President, as its authorized official.

NPPES Registry Identity

NPI1487386488
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDIVERSE MEDICAL NETWORK
Location Address1910 S UNION ST UNIT 1082Anaheim, CA 92805-7430
Mailing Address1910 S Union St Unit 1082Anaheim, CA 92805-7430 · (818) 626-4883
Phone(818) 626-4883
Organization SubpartNo
Authorized OfficialCristina EnriquezPresident · (818) 626-4883
Enumeration DateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1487386488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryTaxonomy 2084B0040X
Also ListedClinic/CenterTaxonomy 261Q00000X
1910 S UNION ST UNIT 1082, Anaheim, CA 92805
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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 Mediverse Medical Network's NPI number?

The NPI number for Mediverse Medical Network is 1487386488. It was assigned to this organization in the NPPES registry on June 28, 2022.

Where is Mediverse Medical Network located?

Mediverse Medical Network is located at 1910 S Union St Unit 1082, Anaheim, CA 92805. The listed phone number is (818) 626-4883.

What is Mediverse Medical Network's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mediverse Medical Network was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.