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KEIICHIRO OMORI MD
NPI 1821171158
Non-Pharmacy Dispensing Site in Anaheim, CA

Active since October 23, 2006
1801 W ROMNEYA DR STE 407, ANAHEIM, CA 92801(714) 533-3870(714) 533-6714 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keiichiro Omori Md NPPES

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

KEIICHIRO OMORI MD (NPI 1821171158) is a healthcare organization registered as a non-pharmacy dispensing site in Anaheim, California and active in the NPI registry since October 2006. The organization lists Direndia Shackelford, Managed Care Specialist, as its authorized official.

NPPES Registry Identity

NPI1821171158
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameKEIICHIRO OMORI MD
Location Address1801 W ROMNEYA DR STE 407Anaheim, CA 92801-1827
Mailing Address1801 W Romneya Dr Ste 407Anaheim, CA 92801-1827
Phone(714) 533-3870
Fax(714) 533-6714
Organization SubpartNo
Authorized OfficialDirendia ShackelfordManaged Care Specialist · (800) 654-0889
Enumeration DateOctober 23, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1821171158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in CA · A26248
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
1801 W ROMNEYA DR STE 407, Anaheim, CA 92801
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Other Names 1

Doing Business AsKeiichiro Omori Md

Other Identifiers 1

Other0558710Other Id Number-commercial Number

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 Keiichiro Omori MD's NPI number?

The NPI number for Keiichiro Omori MD is 1821171158. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is Keiichiro Omori MD located?

Keiichiro Omori MD is located at 1801 W Romneya Dr Ste 407, Anaheim, CA 92801. The listed phone number is (714) 533-3870.

What is Keiichiro Omori MD's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Keiichiro Omori MD was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.