Provider Demographics
NPI:1326100199
Name:ASHER FAMILY CARE, A MEDICAL CORP
Entity Type:Organization
Organization Name:ASHER FAMILY CARE, A MEDICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:ASHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-533-1491
Mailing Address - Street 1:1110 W LA PALMA AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-2821
Mailing Address - Country:US
Mailing Address - Phone:714-533-1491
Mailing Address - Fax:714-533-0237
Practice Address - Street 1:1110 W LA PALMA AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-2821
Practice Address - Country:US
Practice Address - Phone:714-533-1491
Practice Address - Fax:714-533-0237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA67110207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFNP 29390OtherFICTITIOUS NAME PERMIT
CAGR0090750Medicaid
CAGR0090750Medicaid
CAW15367Medicare ID - Type UnspecifiedMEDICARE GROUP PROVIDER N