OrganizationActive
Keiichiro Omori MD
NPI 1821171158 · Non-Pharmacy Dispensing Site · Anaheim, CA
Keiichiro Omori MD is a Non-Pharmacy Dispensing Site organization in Anaheim, CA (NPI 1821171158).
Provider details
- NPI number
- 1821171158
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Direndia Shackelford, Managed Care Specialist(800) 654-0889
- License
- A26248 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1801 W Romneya Dr Ste 407
Anaheim, CA 92801-1827
Phone: (714) 533-3870
Fax: (714) 533-6714
Street-level locationGet directions
Mailing address
1801 W Romneya Dr Ste 407
Anaheim, CA 92801-1827
Other names (DBA / former)
- Doing business as
- Keiichiro Omori MD
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2020-08-22
Frequently asked questions
- What is Keiichiro Omori MD's NPI number?
- Keiichiro Omori MD's National Provider Identifier (NPI) is 1821171158, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Keiichiro Omori MD?
- Keiichiro Omori MD is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Keiichiro Omori MD located?
- Keiichiro Omori MD's practice location on file with NPPES is 1801 W Romneya Dr Ste 407, Anaheim, CA 92801-1827.
- What is Keiichiro Omori MD's phone number?
- The practice phone number listed in the NPPES registry for Keiichiro Omori MD is (714) 533-3870.
- Who is the authorized official for Keiichiro Omori MD?
- The authorized official listed on Keiichiro Omori MD's NPPES record is Direndia Shackelford, Managed Care Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Keiichiro Omori MD's NPI active?
- Yes — Keiichiro Omori MD's NPI (1821171158) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.