COUNTY OF ORANGE (NPI# 1316084031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316084031 |
| Entity Type | Organization |
| Organization Name | COUNTY OF ORANGE |
| Other Organization Name | AMHS PACT FULLERTON |
| Practice Address |
401 E. Imperial Hwy Fullerton CA 92835-1145 |
| Mailing Address |
405 W 5th St Ste 212 Santa Ana CA 92701-4522 |
| Practice Telephone | 7144477000 |
| Mailing Telephone | 7145685614 |
| Mailing Fax Number | 7148346595 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-07-30 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 3007 | 05 |
| Other Name | Type Code |
|---|---|
| AMHS PACT Fullerton | 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 |
401 E. IMPERIAL HWY |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-1145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346346368 | Robert Steven Ward | Registered Nurse | 401 E. Imperial Hwy, #300, Fullerton, CA 92835 | 2006-09-16 |
| 1720615578 | Alison Grace Turner | Marriage & Family Therapist | 401 E. Imperial Hwy, Fullerton, CA 92835-1145 | 2020-03-23 |
| 1386295368 | Tyler Joseph Branco | Counselor | 401 E. Imperial Hwy, Fullerton, CA 92835-1145 | 2019-09-22 |
| 1649789231 | Michael Allen Rosendo | Counselor | 401 E. Imperial Hwy, Fullerton, CA 92835-1145 | 2017-09-26 |
| 1649631623 | Karen R Apolinar | Case Manager/Care Coordinator | 401 E. Imperial Hwy, Fullerton, CA 92835-1145 | 2016-03-17 |
| 1063842631 | Edward Raymond Fuentes Jr. | Marriage & Family Therapist | 401 E. Imperial Hwy, Fullerton, CA 92835-1145 | 2013-11-19 |
| 1265740724 | Eunice Hope Kim | Social Worker | 401 E. Imperial Hwy, Fullerton, CA 92835-1145 | 2010-09-17 |
| 1215171160 | Luis Alfredo Gonzalez | Counselor | 401 E. Imperial Hwy, Fullerton, CA 92835-1145 | 2009-04-22 |
| 1386813814 | Bernadette Anne Brown | Licensed Psychiatric Technician | 401 E. Imperial Hwy, Fullerton, CA 92835-1145 | 2008-02-28 |
| 1912194093 | Somchet C Bonsynat | Counselor | 401 E. Imperial Hwy, Fullerton, CA 92835-1145 | 2007-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023349305 | Orange County Center for Psychotherapy and Counseling | Clinic/Center | 213 N Pomona Ave, Fullerton, CA 92832-1926 | 2010-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365652 | Hearts for Sight Foundation | Clinic/Center | 1540 Prospect Ave Apt A, San Gabriel, CA 91776-4484 | 2020-10-28 |
| 1679172290 | Cyti Psychology PC | Clinic/Center | 3025 Calico St, Santee, CA 92071-5678 | 2020-10-23 |
| 1427655810 | An Elegant Sufficiency, A Psychological Corporation | Clinic/Center | 672 W 11th St Ste 354, Tracy, CA 95376-3821 | 2020-10-08 |
| 1184231508 | Rh Community Builders Lp. | Clinic/Center | 1040 N Pleasant Ave, Fresno, CA 93728-2434 | 2020-09-29 |
| 1730795337 | Full Circle Psychotherapy | Clinic/Center | 6741 Sebastopol Ave Ste 110, Sebastopol, CA 95472-3838 | 2020-09-18 |
| 1871108928 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln Ste 200, Palm Desert, CA 92211-0468 | 2020-09-14 |
| 1619581337 | Family Tree Psychology Group Inc. | Clinic/Center | 3655 Grand Ave, Oakland, CA 94610-2009 | 2020-09-01 |
| 1306459029 | Lisa Eaton Therapy and Coaching, A Licensed Clinical Social Worker Cor | Clinic/Center | 3014 Lupine, Lake Forest, CA 92630-8439 | 2020-08-24 |
| 1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
| 1417566605 | Freedom Family Counseling Group Corp. | Clinic/Center | 190 S Orchard Ave Ste C230, Vacaville, CA 95688-3657 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
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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.