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Davita Medical Group Talbert California, P.C.

Family Medicine Physician in Anaheim, CA · enumerated 2005 · authorized official John Liethen, Secretary.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477554012

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Registry record

Entity type Organization (Type 2)
Legal business name Davita Medical Group Talbert California, P.C.
Other name <Unavail>
Practice address 1236 N Magnolia Ave, Anaheim, CA, 92801
Phone (714) 995-1000
Fax (714) 828-7926
Enumeration date Aug 4, 2005
Last updated in NPPES Aug 19, 2019

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Secondary
207K00000X Allergy & Immunology Physician Allopathic & Osteopathic Physicians Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Secondary
207PE0004X Emergency Medical Services (Emergency Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians Secondary
207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary
207ZP0105X Clinical Pathology/Laboratory Medicine Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
208800000X Urology Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name John Liethen
Title Secretary
Phone (952) 205-6262

Other identifiers

Identifier Type State Issuer
GR0077863 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Davita Medical Group Talbert California, P.C.?
The NPI for Davita Medical Group Talbert California, P.C. is 1477554012, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Davita Medical Group Talbert California, P.C.?
NPPES lists John Liethen (Secretary) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-08-19.