SOUTHLAND INTEGRATED SERVICES, INC. (NPI# 1285708818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285708818 |
Entity Type | Organization |
Organization Name | SOUTHLAND INTEGRATED SERVICES, INC. |
Other Organization Name | VIETNAMESE COMMUNITY OF ORANGE COUNTY, INC. |
Practice Address |
9862 Chapman Ave Garden Grove CA 92841-2726 |
Practice Telephone | 7146207001 |
Practice Fax Number | 7146207091 |
Mailing Telephone | 7146207001 |
Mailing Fax Number | 7146207091 |
Enumeration Date | 2006-11-17 |
Last Update Date | 2020-02-05 |
Authorized Official Name | MRS. TRICIA THAO NGUYEN (CEO) |
Authorized Official Telephone | 7146207007 |
Authorized Official Credential | MPH |
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 |
---|---|
Vietnamese Community of Orange County, Inc. | Former Legal Business Name - Organization |
VNCOC Asian Health Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134636889 | Southland Integrated Services, Inc. | Clinic/Center | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2018-01-03 |
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 |
Street Address |
9862 CHAPMAN AVE |
City | GARDEN GROVE |
State | CA |
Zip Code | 92841-2726 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518043645 | Christyn Mai Phan | Optometrist | 9862 Chapman Ave, Suite A, Garden Grove, CA 92841-2726 | 2006-10-31 |
1366057499 | Jessica Rachel Pelaez | Social Worker | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2020-09-15 |
1457995441 | Cindy Thu Cung | Case Manager/Care Coordinator | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2019-11-01 |
1700420791 | Allison Ngoc Nguyen | Specialist/Technologist | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2019-11-01 |
1841844974 | Ngan Nguyen | Specialist/Technologist | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2019-07-26 |
1114589314 | John Nguyen | Specialist/Technologist | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2019-07-08 |
1043877681 | Cecilia Tran | Occupational Therapist | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2019-05-20 |
1851811301 | Phuong Hoang Nguyen | Nurse Practitioner | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2017-06-26 |
1598210726 | Jenny Vinh | Case Manager/Care Coordinator | 9862 Chapman Ave, Ste B., Garden Grove, CA 92841-2726 | 2016-08-17 |
1154876381 | Kristine Nguyen | Case Manager/Care Coordinator | 9862 Chapman Ave, Suite B, Garden Grove, CA 92841-2726 | 2016-08-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174179980 | Erica R Jackson | Technician | 11355 Desmond St, Garden Grove, CA 92841 | 2019-08-16 |
1184107500 | Tat Pharmacy, Inc | Pharmacy | 9153 Garden Grove Blvd., Garden Grove, CA 92841 | 2018-09-11 |
1083119002 | Hoang Dmd Dental Inc. | Dentist | 9639 Chapman Ave, Garden Grove, CA 92841 | 2018-03-30 |
1699282434 | Rubi Esmeralda Tapia | Social Worker | 7441 Lincoln Way Ste 250, Garden Grove, CA 92841 | 2018-01-02 |
1144739830 | Bryan Nguyen | Spec/Tech, Health Info | 9862 Chapman Ave., Ste. B, Garden Grove, CA 92841 | 2017-09-25 |
1649796111 | Jesus Torres | Case Manager/Care Coordinator | 9862 Chapman Ave Suite B, Garden Grove, CA 92841 | 2017-08-16 |
1477005312 | Naincee Tolani | Occupational Therapist | 12881 Knott Street, Suite 103, Garden Grove, CA 92841 | 2016-10-26 |
1114385838 | Quyen Do | Case Manager/Care Coordinator | 9862 Chapman Ave, Ste. B, Garden Grove, CA 92841 | 2016-02-09 |
1629331657 | Superior Medical Management, LLC | Clinic/Center | 9862 Lemore Drive, Garden Grove, CA 92841 | 2012-06-25 |
1376818344 | Meghan Lyyn-deibert Pickens | Behavioral Analyst | 7291 Garden Grove Blvd. Suite F, Garden Grove, CA 92841 | 2012-03-09 |
Find all providers in zip 92841 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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---|---|---|---|---|
1548813041 | Families Together of Orange County | Clinic/Center | 9918 W. Katella, Suite A, Garden Grove, CA 92804-9280 | 2019-07-23 |
1588972129 | Central City Community Health Center, Inc. | Clinic/Center | 12511 Brookhurst St, Garden Grove, CA 92840 | 2010-09-16 |
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Find all providers with the same taxonomy |
City | GARDEN GROVE |
Zip Code | 92841 |
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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.