Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Keiichiro Omori MD

Non-Pharmacy Dispensing Site in Anaheim, CA · enumerated 2006 · authorized official Direndia Shackelford, Managed Care Specialist.

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

National Provider Identifier

1821171158

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Keiichiro Omori MD

Other name <Unavail>

Practice address 1801 W Romneya Dr Ste 407, Anaheim, CA, 92801

Phone (714) 533-3870

Fax (714) 533-6714

Enumeration date Oct 23, 2006

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License A26248 (CA) Primary

Authorized official

Name Direndia Shackelford

Title Managed Care Specialist

Phone (800) 654-0889

Other identifiers

Identifier	Type	State	Issuer
0558710	Other	-	OTHER ID NUMBER-COMMERCIAL NUMBER

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Keiichiro Omori MD located?

The practice location on file with NPPES is in Anaheim, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.