SHARE OUR SELVES CORPORATION (NPI# 1629494398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629494398 |
| Entity Type | Organization |
| Organization Name | SHARE OUR SELVES CORPORATION |
| Other Organization Name | SOS COMMUNITY HEALTH CENTER - MISSION VIEJO |
| Practice Address |
27725 Santa Margarita Pkwy Ste 101 Mission Viejo CA 92691-6706 |
| Mailing Address |
Po Box 10159 Costa Mesa CA 92627-0050 |
| Practice Telephone | 9492702100 |
| Practice Fax Number | 9496504458 |
| Mailing Telephone | 9492702132 |
| Mailing Fax Number | 9495155804 |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | CHRISTY WARD (CEO) |
| Authorized Official Telephone | 9495363927 |
| 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 |
|---|---|
| SOS Community Health Center - Mission Viejo | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184279952 | Share Our Selves Corporation | Clinic/Center | 1000 N Kraemer Pl Ste 204, Anaheim, CA 92806-2610 | 2019-08-07 |
| 1346776499 | Share Our Selves Corporation | Counselor | 20151 Sw Birch St Ste 100, Newport Beach, CA 92660-1794 | 2017-05-11 |
| 1497114300 | Share Our Selves Corporation | Clinic/Center | 1901 N Fairview St, Building C, Santa Ana, CA 92706-2205 | 2016-02-19 |
| 1649648817 | Share Our Selves Corporation | Clinic/Center | 307 Placentia Ave Ste 202, Newport Beach, CA 92663-3308 | 2015-09-04 |
| 1295082774 | Share Our Selves Corporation | Clinic/Center | 1014 N. Broadway, Santa Ana, CA 92701-3141 | 2012-08-14 |
| 1821612128 | Share Our Selves Corporation | Clinic/Center | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2020-06-02 |
| 1144717778 | Share Our Selves Corporation | Pharmacy | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2018-04-19 |
| 1023524147 | Share Our Selves Corporation | Family Medicine | 2077 Harbor Blvd, Costa Mesa, CA 92627-2630 | 2017-12-27 |
| 1467858837 | Share Our Selves Corporation | Clinic/Center | 136 Broadway, Costa Mesa, CA 92627-2818 | 2014-11-13 |
| 1033514708 | Share Our Selves Corporation | Clinic/Center | 307 Placentia Ave Ste 107, N/a, Newport Beach, CA 92663-3307 | 2014-10-23 |
| Street Address |
27725 SANTA MARGARITA PKWY STE 101 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-6706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588735088 | Marisa Wayt | Physician Assistant | 27725 Santa Margarita Pkwy Ste 101, Mission Viejo, CA 92691-6706 | 2006-11-13 |
| 1558836999 | Earl Scott Trinidad | Family Medicine | 27725 Santa Margarita Pkwy Ste 101, Mission Viejo, CA 92691-6706 | 2018-10-12 |
| 1629272588 | Sabrina Janelle Cooley | Family Medicine | 27725 Santa Margarita Pkwy Ste 101, Mission Viejo, CA 92691-6706 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
Please comment or provide details below to improve the information on SHARE OUR SELVES CORPORATION.
| 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.