SOUTHLAND INTEGRATED SERVICES, INC. (NPI# 1134636889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134636889 |
| Entity Type | Organization |
| Organization Name | SOUTHLAND INTEGRATED SERVICES, INC. |
| Other Organization Name | INTEGRATED COMMUNITY SERVICES - SANTA ANA |
| Practice Address |
1200 N Main St Ste 300 Santa Ana CA 92701-3625 |
| Mailing Address |
1200 N Main St Ste 200 Santa Ana CA 92701-3640 |
| Practice Telephone | 7144807629 |
| Mailing Telephone | 7144807629 |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | TRICIA THAO NGUYEN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7146207007 |
| Authorized Official Credential | M.P.H. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Integrated Community Services - Santa Ana | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689181331 | Southland Integrated Services, Inc. | Clinic/Center | 14140 Beach Blvd Ste 223, Westminster, CA 92683-4453 | 2018-01-03 |
| 1942717699 | Southland Integrated Services, Inc. | Clinic/Center | 2035 E Ball Rd Ste 100a, Anaheim, CA 92806-5158 | 2018-01-03 |
| 1285708818 | Southland Integrated Services, Inc. | Clinic/Center | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2006-11-17 |
| Street Address |
1200 N MAIN ST STE 300 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92701-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326128406 | Daniel James Alexander | Marriage & Family Therapist | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2006-10-16 |
| 1730796822 | Beth Anne Gayle Greenberg | Licensed Psychiatric Technician | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2020-09-23 |
| 1316575608 | Sabrina Mclin | Counselor | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2020-03-31 |
| 1164061180 | County of Orange | Clinic/Center | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2019-12-23 |
| 1689212607 | County of Orange | Clinic/Center | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2019-12-20 |
| 1952942765 | Martin Dario Gonzalez | Counselor | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2019-10-02 |
| 1356908099 | Liza Quynhmy Dang | Social Worker | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2019-05-28 |
| 1295291086 | Jessica Hernandez | Counselor | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2019-02-16 |
| 1710443866 | Paulina Serna I | Counselor | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2019-02-13 |
| 1073084505 | Roberto Vega | Technician, Health Information | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2018-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
| 1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
| 1750873758 | Eileen Fernandez | Counselor | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 2018-06-05 |
| Find all providers in zip 92701 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1366834400 | Altamed Health Services Corp | Clinic/Center | 1155 W Central Ave, Suites 104-107, Santa Ana, CA 92707-3165 | 2015-02-26 |
| 1740427657 | Altamed Health Services Corp | Clinic/Center | 1400 N Main St, Santa Ana, CA 92701-2304 | 2009-01-14 |
| 1730349960 | University of California Irvine | Clinic/Center | 800 N Main St, Santa Ana, CA 92701-3576 | 2008-06-11 |
| 1760651814 | Altamed Health Services Corp | Clinic/Center | 2720 S Bristol St, Suite 110, Santa Ana, CA 92704-6207 | 2008-02-22 |
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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.