SADDLEBACK MEMORIAL MEDICAL CENTER (NPI# 1114967114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114967114 |
| Entity Type | Organization |
| Organization Name | SADDLEBACK MEMORIAL MEDICAL CENTER |
| Practice Address |
24451 Health Center Dr Laguna Hills CA 92653 |
| Mailing Address |
24451 Health Center Dr Laguna Hills CA 92653-3689 |
| Practice Telephone | 9498374500 |
| Practice Fax Number | 9494523460 |
| Mailing Telephone | 9498374500 |
| Mailing Fax Number | 9494523460 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2018-08-23 |
| Authorized Official Name | CHRIS FINCH (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 7143773218 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 060000166 | CA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT30603F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922048511 | Saddleback Memorial Medical Center | Hospice Care, Community Based | 24411 Health Center Drive Suite 400, Laguna Hills, CA 92653 | 2006-06-08 |
| 1376598318 | Saddleback Memorial Medical Center | Home Health | 23521 Paseo De Valencia Ste 100, Laguna Hills, CA 92653 | 2006-05-24 |
| 1528183167 | Saddleback Memorial Medical Center | Durable Medical Equipment & Medical Supplies | 23961 Calle De La Magdalena, Suite 300, Laguna Hills, CA 92653 | 2007-03-20 |
| 1275576381 | Saddleback Memorial Medical Center | General Acute Care Hospital | 24451 Health Center Dr, Laguna Hills, CA 92653 | 2006-06-14 |
| 1841275070 | Saddleback Memorial Medical Center | Pharmacy | 24411 Health Center Dr, 102, Laguna Hills, CA 92653 | 2005-12-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SADDLEBACK MEMORIAL MEDICAL CENTER | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 |
| Street Address |
24451 HEALTH CENTER DR |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290228 | Monarch Health Care, A Medical Group, Inc. | General Acute Care Hospital | 24451 Health Center Dr, Saddleback Memorial Medical Center, Laguna Hills, CA 92653-3689 | 2005-07-27 |
| 1063076735 | Carmina Deleon Inductivo | Nurse Practitioner | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2019-04-27 |
| 1306313192 | Andrea Van Ry | Nurse Practitioner | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2018-10-30 |
| 1134600430 | Maria Heladia Hilton | Registered Nurse | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2018-08-24 |
| 1255856563 | California Emergency Physicians Medical Group A Professional Corp | Internal Medicine | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2017-08-08 |
| 1881047124 | Stacy Clark | Marriage & Family Therapist | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2016-07-21 |
| 1275990244 | Jordana Jones | Registered Nurse | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2016-01-21 |
| 1568835411 | Karen E Forhane | Nurse Practitioner | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2015-11-01 |
| 1265848733 | Jessica Alva | Registered Nurse | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2014-07-06 |
| 1386984219 | Cheryl Beth Johnson | Physical Medicine & Rehabilitation | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2013-03-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909543 | Harmony Rehab PC | Rehabilitation Unit | 530 Showers Dr Ste 7-212, Mountain View, CA 94040-4740 | 2020-07-17 |
| 1659813012 | Jordan Leeann Isom | Rehabilitation Unit | 3322 Saint Omer St Apt 33, Cottonwood, CA 96022-9414 | 2016-11-15 |
| 1568911972 | Van Ngo | Rehabilitation Unit | 3939 Monroe Ave Apt 124, Fremont, CA 94536-6903 | 2016-09-26 |
| 1659756450 | Rehab Alliance | Rehabilitation Unit | 1720 Mt View Ave, Loma Linda, CA 92354-1727 | 2015-07-22 |
| 1265828966 | Therasens Occupational Therapy | Rehabilitation Unit | 1900 Garden Rd Ste 200c, Monterey, CA 93940-5373 | 2015-04-09 |
| 1396081394 | Quest Psychological Consulting, Inc. | Rehabilitation Unit | 18411 Gothard St Unit I, Huntington Beach, CA 92648-1208 | 2012-12-19 |
| 1477805877 | First Rehabilitation Specialists, Inc. | Rehabilitation Unit | 475 Hamilton St, San Francisco, CA 94134-1731 | 2012-10-09 |
| 1316298607 | Dynamic Therapy Group, Inc. | Rehabilitation Unit | 8100 Hansom Dr, Oakland, CA 94605-4211 | 2012-09-26 |
| 1184973752 | Providence Speech and Hearing Center | Rehabilitation Unit | 1301 Providence Ave., Orange, CA 92868 | 2012-08-29 |
| 1396003034 | Armour X Sports In Orthopedic Medicine | Rehabilitation Unit | 22482 Lake Forest Ln, Lake Forest, CA 92630-3024 | 2012-05-01 |
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| City | LAGUNA HILLS |
| Zip Code | 92653 |
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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.