ILLUMINATION FOUNDATION (NPI# 1073863056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073863056 |
| Entity Type | Organization |
| Organization Name | ILLUMINATION FOUNDATION |
| Practice Address |
1091 N Batavia St Orange CA 92867 |
| Mailing Address |
1091 N Batavia St Orange CA 92867-5548 |
| Practice Telephone | 9492730555 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2019-07-09 |
| Authorized Official Name | JOHN SIMMONS (MANAGER OF MEDICAL COORDINATION) |
| Authorized Official Telephone | 9492730555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 10055 | 05 |
| Other Name | Type Code |
|---|---|
| Stanton Community Clinic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15161 Jackson St, Midway City, CA 926551432 | 9492730555 | |
| 7855 Katella Ave, Stanton, CA 906803150 | 9492730555 | |
| 11111 Bloomfield Ave, Santa Fe Springs, CA 906704655 | 9492730555 | |
| 1120 E Holt Blvd, Ontario, CA 917612023 | 9492730555 | |
| 2010 Lincoln Park Ave, Los Angeles, CA 900313119 | 9492730555 | |
| 2826 W Valley Blvd, Alhambra, CA 918031817 | 9492730555 | |
| 7891 Whitaker St, Buena Park, CA 906212950 | 9492730555 | |
| 1091 N Batavia St, Orange, CA 92867 | 9492730555 | |
| 3035 E La Mesa St, Anaheim, CA 928062614 | 9492730555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013256213 | Illumination Foundation | Meals | 1120 E Holt Blvd, Ontario, CA 91761-2023 | 2013-02-07 |
| 1285253286 | Illumination Foundation | Case Management | 1091 N Batavia St, Orange, CA 92867-5548 | 2020-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ILLUMINATION FOUNDATION, INC. | 230 E. 11th Street, New York, New York 10003 |
| System for Award Management (SAM) Entities | ILLUMINATION FOUNDATION, THE | 1091 N Batavia St, Orange, CA 92867-5548 |
| Street Address |
1091 N BATAVIA ST |
| City | ORANGE |
| State | CA |
| Zip Code | 92867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444742 | Clarke Lew Medical Corp | Counselor | 1091 N Batavia St, Orange, CA 92867-5548 | 2020-07-21 |
| 1861016578 | James Martin | Counselor | 1091 N Batavia St, Orange, CA 92867-5548 | 2020-05-29 |
| 1285253286 | Illumination Foundation | Case Management | 1091 N Batavia St, Orange, CA 92867-5548 | 2020-04-10 |
| 1801447479 | Crystal De La Riva | Marriage & Family Therapist | 1091 N Batavia St, Orange, CA 92867-5548 | 2019-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197618 | Family First Healthcare | Home Health | 2712 E Blueridge Ave, Orange, CA 92867 | 2020-09-08 |
| 1568924793 | Denise Giovanazzi Weinberg | Nurse Practitioner | 3215 East Abbey Lane, Orange, CA 92867 | 2019-04-05 |
| 1629536701 | Cindy Diaz | Behavioral Analyst | 410 E. Katella, Orange, CA 92867 | 2019-03-07 |
| 1992206940 | Oc Healthy Heart LLC | Internal Medicine | 438 E Katella Ave Suite B, Orange, CA 92867 | 2018-02-26 |
| 1083139059 | Randy Hope | Counselor | 1855 W Katella Ave #150, Orange, CA 92867 | 2017-08-10 |
| 1801319595 | Danielle Collett | Registered Nurse | 1855 N. Katella, 150, Orange, CA 92867 | 2017-07-25 |
| 1023538931 | Mala Leao | Social Worker | 2440 E. Vanowen Ave., Orange, CA 92867 | 2017-06-21 |
| 1184096257 | Renew Acupuncture Clinic | Health Maintenance Organization | 1132 E Katella Avenue Ste. A14, Orange, CA 92867 | 2015-10-28 |
| 1942604913 | Seon Song | Acupuncturist | 1327 E Katella Ave, Orange, CA 92867 | 2014-10-20 |
| 1700298965 | Nazanin Minouei | Physical Therapy Assistant | 1045 N. Tustin Ave, Orange, CA 92867 | 2014-05-22 |
| Find all providers in zip 92867 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063061927 | Neighbours-inc | Community/Behavioral Health | 412 S Valley Rd Fl 2, Orange, NJ 07050-1323 | 2019-09-04 |
| 1518446905 | Alan Lawrence | Community/Behavioral Health | 339 Park Ave Apt 3e, Orange, NJ 07050-2867 | 2018-08-07 |
| 1851879688 | Jasmin Bahena | Community/Behavioral Health | 817 W Westway Ave, Orange, CA 92865-2533 | 2018-08-02 |
| 1891273223 | Berlyn Gasporra | Community/Behavioral Health | 270 W Sparkleberry Ave, Orange, CA 92865-5012 | 2018-07-28 |
| 1801244876 | Urban Truth LLC | Community/Behavioral Health | 402 Valley St, Orange, NJ 07050-1321 | 2016-05-31 |
| 1679953319 | Serenity Living Inc | Community/Behavioral Health | 29 William St, 1st Floor, Orange, NJ 07050-4010 | 2015-06-08 |
| 1245675818 | Acm, Inc. | Community/Behavioral Health | 265 S Anita Dr Ste 117, Orange, CA 92868-3341 | 2013-05-08 |
| 1598054728 | Recovery Innovations Inc | Community/Behavioral Health | 171 S Anita Dr, Suite 100, Orange, CA 92868-3319 | 2011-03-28 |
| 1124201462 | Cross Counter, Inc | Community/Behavioral Health | 399 Heywood Ave, Orange, NJ 07050-2006 | 2007-12-10 |
| 1598953903 | The Garden Institute, Inc. | Community/Behavioral Health | 571 N Poplar St Ste G, Orange, CA 92868-1023 | 2007-10-10 |
| Find all providers in ORANGE | ||||
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| 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.