COUNTY OF ORANGE (NPI# 1073650727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073650727 |
| Entity Type | Organization |
| Organization Name | COUNTY OF ORANGE |
| Other Organization Name | HCA-PHS-CCS-MTU-DANA |
| Practice Address |
24242 La Cresta Dr Dana Point CA 92629-2561 |
| Mailing Address |
405 W 5th St Ste 212 Santa Ana CA 92701-4522 |
| Practice Telephone | 9492345595 |
| Mailing Telephone | 7145685614 |
| Mailing Fax Number | 7148346595 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2019-12-20 |
| Authorized Official Name | DR. CHI Y RAJALINGAM (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 7148343154 |
| Authorized Official Credential | PH.D., CHC |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF ORANGE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CCS00054F | 05 |
| Other Name | Type Code |
|---|---|
| HCA-PHS-CCS-MTU-Dana | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649716770 | County of Orange | Clinic/Center | 2200 W Orangewood Ave, Suite 212, Orange, CA 92868-1945 | 2017-01-12 |
| 1114248671 | County of Orange | Clinic/Center | 200 W Santa Ana Blvd Fl 10, Santa Ana, CA 92701-4134 | 2010-06-18 |
| 1720212020 | County of Orange | Clinic/Center | 4771 Campus Dr, Irvine, CA 92612-3201 | 2009-05-14 |
| 1740431436 | County of Orange | Clinic/Center | 1725 W 17th St Ste 101f, Santa Ana, CA 92706-2316 | 2008-10-01 |
| 1336324409 | County of Orange | Clinic/Center | 30 Harriman Dr, Goshen, NY 10924-2410 | 2008-01-08 |
| 1114108982 | County of Orange | Case Management | 200 W Santa Ana Blvd, Ste 800, Santa Ana, CA 92701 | 2007-11-20 |
| 1457574683 | County of Orange | Clinic/Center | 5 Mareblu, Suites 100, 200, and 250, Aliso Viejo, CA 92656-3014 | 2007-04-10 |
| 1063550929 | County of Orange | Clinical Medical Laboratory | 1729 W 17th St, Santa Ana, CA 92706-2316 | 2007-02-02 |
| 1346387743 | County of Orange | Clinic/Center | 2801 Bristol St, Costa Mesa, CA 92626-5996 | 2007-02-01 |
| 1881731289 | County of Orange | Clinic/Center | 455 W Baker Ave, Fullerton, CA 92832-3269 | 2007-02-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COUNTY OF ORANGE | 333 West Santa Ana Blvd Fl 3, Santa Ana, CA 92701-4017 |
| Vermont Business Registrations | COUNTY OF ORANGE SPECIAL INVESTIGATION & ADVOCACY TEAM INC. | Rr1 Box 30 G, Chelsea, VT 05038 |
| Street Address |
24242 LA CRESTA DR |
| City | DANA POINT |
| State | CA |
| Zip Code | 92629-2561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952359341 | Kay Darlene Glenn | Physical Therapist | 24242 La Cresta Dr, Dana Point, CA 92629-2561 | 2006-05-05 |
| 1982079505 | Isabel Cremieux | Marriage & Family Therapist | 24242 La Cresta Dr, Dana Point, CA 92629-2561 | 2015-12-08 |
| 1477685378 | County of Orange | Clinic/Center | 24242 La Cresta Dr, Ste. 116, Dana Point, CA 92629-2561 | 2007-03-09 |
| 1114960325 | Carey Jamison Bornhagen | Occupational Therapist | 24242 La Cresta Dr, Dana Point, CA 92629-2561 | 2006-06-14 |
| 1073551834 | Cindy Lee Sterkel | Physical Therapist | 24242 La Cresta Dr, Dana Point, CA 92629-2561 | 2006-06-03 |
| 1962440735 | Tiffany Kelley Sampson | Occupational Therapist | 24242 La Cresta Dr, Dana Point, CA 92629-2561 | 2006-06-03 |
| 1861447294 | Brian Keith Apin | Physical Therapist | 24242 La Cresta Dr, Dana Point, CA 92629-2561 | 2006-05-24 |
| 1578517561 | Debby Jane Gallup | Physical Therapist | 24242 La Cresta Dr, Dana Point, CA 92629-2561 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003443144 | Torrey Dawn Commisso | Counselor | 34092 Violet Lantern, Suite 100, Dana Point, CA 92629 | 2020-03-26 |
| 1104466473 | Kirsten Noelle Yackley | Marriage & Family Therapist | 34202 Del Obispo, Dana Point, CA 92629 | 2020-01-14 |
| 1154971653 | Alicia Jolieta Ciriani | Technician | 25082 Perch Dr., Dans Point, CA 92629 | 2019-09-17 |
| 1821640137 | L Snyder Incorporated | Family Medicine | 34052 La Plaza #101, Dana Point, CA 92629 | 2019-07-16 |
| 1023572609 | Michelle Shickler | Behavioral Analyst | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-01-28 |
| 1649734427 | Gustavo Asencia | Behavioral Analyst | 32565 Golden Lantern Ste B180, Dana Point, CA 92629 | 2019-01-25 |
| 1275069684 | Mission Rehab, LLC. | Substance Abuse Rehabilitation Facility | 32656 Golden Lantern, Suite B #473, Dana Point, CA 92629 | 2017-05-04 |
| 1922548452 | Dana Point Rehab Campus | Substance Abuse Rehabilitation Facility | 33842 Orilla Rd, Dana Point, CA 92629 | 2017-03-02 |
| 1316340060 | Steven Edward Dunbar | Chiropractor | 32585 Golden Lantern St. Suite H, Dana Point, CA 92629 | 2014-10-08 |
| 1427476183 | Lorraine Ann Sherrie | Occupational Therapy Assistant | 24242 La Cresta, Ot Department, Dana Point, CA 92629 | 2014-03-31 |
| Find all providers in zip 92629 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928697 | Bonnie Laine Lasher | Clinic/Center | 33772 Copper Lantern St Apt C, Dana Point, CA 92629-6427 | 2020-09-28 |
| 1750537585 | Pack Physical Therapy | Clinic/Center | 24582 Del Prado Ste E, Dana Point, CA 92629-3820 | 2008-08-12 |
| 1689830150 | Rehabcare | Clinic/Center | 24122 Gourami Bay, Dana Point, CA 92629-4504 | 2008-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051839 | The Pelvic Model Physical Therapy, Inc. | Clinic/Center | 3761 Vinton Ave Apt 6, Los Angeles, CA 90034-5781 | 2020-10-18 |
| 1932707957 | Body In Motion Therapy, P.c | Clinic/Center | 1111 S Grand Ave Apt 708, Los Angeles, CA 90015-2169 | 2020-10-12 |
| 1992303275 | Vw Physical Therapy, Inc. | Clinic/Center | 100 Saybrook Ave, Vacaville, CA 95687-4129 | 2020-10-09 |
| 1730787094 | Movement System Institute Physiotherapy Inc | Clinic/Center | 508 Glenwood Rd Apt 102, Glendale, CA 91202-1572 | 2020-10-09 |
| 1538766530 | Sterling King Physical Therapy | Clinic/Center | 1820 Fullerton Ave Ste 280, Corona, CA 92881-3175 | 2020-10-03 |
| 1902403041 | Jha Geriatric Services, Inc | Clinic/Center | 12490 Fielding Circle, Suite 174, Playa Vista, CA 90094-3024 | 2020-10-01 |
| 1245847540 | Bespoke San Diego Physical Therapy PC | Clinic/Center | 2748 Ariane Dr, Unit 141, San Diego, CA 92117-3407 | 2020-09-30 |
| 1285241786 | Rapid Recovery Physical Therapy Inc | Clinic/Center | 39807 Paseo Padre Pkwy, Fremont, CA 94538-2974 | 2020-09-28 |
| 1295340792 | Naum Physical Therapy PC | Clinic/Center | 11405 Fulbourn Ct, Rancho Cucamonga, CA 91730-8341 | 2020-09-10 |
| 1902410426 | California Rehab and Sports Therapy | Clinic/Center | 18785 Brookhurst St Ste 104, Fountain Valley, CA 92708-7300 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
| City | DANA POINT |
| Zip Code | 92629 |
Please comment or provide details below to improve the information on COUNTY OF ORANGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.