ST JOSEPH HERITAGE HEALTHCARE (NPI# 1639715709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639715709 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH HERITAGE HEALTHCARE |
| Practice Address |
200 W Center Street Promenade Anaheim CA 92805-3960 |
| Mailing Address |
Po Box 31001-1920 Pasadena CA 91110-0001 |
| Practice Telephone | 1471235007 |
| Mailing Telephone | 7144494800 |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |
| Authorized Official Name | JILL DUPLECHAN (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 7143477790 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770068629 | St Joseph Heritage Healthcare | Family Medicine | 1 Edwards Way, Irvine, CA 92614-5688 | 2018-09-26 |
| 1609925957 | St Joseph Heritage Healthcare | Family Medicine | 500 S Main St Ste 1000, Orange, CA 92868-4533 | 2007-01-09 |
| 1801443510 | St Joseph Heritage Healthcare | Internal Medicine | 1010 W La Veta Ave Ste 200, Orange, CA 92868-4301 | 2019-08-19 |
| 1427305960 | St Joseph Heritage Healthcare | Physical Medicine & Rehabilitation | 26522 La Alameda, Suite 120, Mission Viejo, CA 92691-6330 | 2012-08-14 |
| 1649551086 | St Joseph Heritage Healthcare | Anesthesiology | 2700 Dolbeer St, Eureka, CA 95501-4736 | 2011-08-30 |
| 1386937225 | St Joseph Heritage Healthcare | Durable Medical Equipment & Medical Supplies | 2826 Harris St, Eureka, CA 95503-4809 | 2011-05-25 |
| 1316243769 | St Joseph Heritage Healthcare | Durable Medical Equipment & Medical Supplies | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835 | 2011-02-02 |
| 1205131950 | St Joseph Heritage Healthcare | Durable Medical Equipment & Medical Supplies | 1100 Trancas St, Suite 209, Napa, CA 94558-2900 | 2011-01-11 |
| 1053616706 | St Joseph Heritage Healthcare | Durable Medical Equipment & Medical Supplies | 19333 Bear Valley Rd, Suite 106, Apple Valley, CA 92308-5148 | 2011-01-11 |
| 1740584473 | St Joseph Heritage Healthcare | Internal Medicine | 500 Doyle Park Dr, Suite 303, Santa Rosa, CA 95405-4558 | 2011-01-10 |
| Street Address |
200 W CENTER STREET PROMENADE |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92805-3960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508230244 | Sandra Dawn Kazim | Nurse Practitioner | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2015-11-18 |
| 1699396655 | St. Joseph Health System Home Care Services | Pharmacy | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2020-04-30 |
| 1679133920 | Christa Marie Ellsworth | Pharmacist | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2019-06-19 |
| 1245777465 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 200 W Center Street Promenade, Suite 100b, Anaheim, CA 92805-3960 | 2017-01-25 |
| 1033654736 | St. Joseph Health Personal Care Services | In Home Supportive Care | 200 W Center Street Promenade, Suite 200, Anaheim, CA 92805-3960 | 2017-01-04 |
| 1447615414 | St. Joseph Health System Home Care Services | Home Health | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2015-12-17 |
| 1093189102 | St. Joseph Health Personal Care Services, LLC | Home Health | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2015-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
| 1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
| 1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
| 1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
| 1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
| 1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
| 1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
| 1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
| 1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
| 1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
| Find all providers in zip 92805 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750928297 | Dr Ekta Sharma Md Mph Inc | Family Medicine | 905 S Canyon Heights Dr, Anaheim, CA 92808-1683 | 2019-12-03 |
| 1558924498 | Careplus Medical Clinic | Family Medicine | 5783 E La Palma Ave, Anaheim, CA 92807-2229 | 2019-04-16 |
| 1346723665 | Access California Services | Family Medicine | 631 S Brookhurst St Ste 107, Anaheim, CA 92804-3576 | 2018-09-12 |
| 1114457538 | A&c Urgent Care Inc | Family Medicine | 1000 S Anaheim Blvd Ste 200, Anaheim, CA 92805 | 2017-06-18 |
| 1205364569 | Calvin Triet Doan | Family Medicine | 925 S Euclid St, Anaheim, CA 92802-1522 | 2017-05-31 |
| 1235666744 | Maria Corazon Meris Md Inc | Family Medicine | 3400 W Ball Rd Ste 102, Anaheim, CA 92804-3735 | 2017-05-15 |
| 1255863338 | Grey Le | Family Medicine | 947 S Anaheim Blvd Ste 125, Anaheim, CA 92805-5584 | 2017-03-29 |
| 1851711014 | Anhthu T Nguyen | Family Medicine | 2140 S State College Blvd Apt 3014, Anaheim, CA 92806-0162 | 2014-04-25 |
| 1801214788 | Catherine Marks | Family Medicine | 3400 West Ball Rd, Suite 202, Anaheim, CA 92804-3735 | 2014-03-28 |
| 1982966883 | Salma Ahmed Farukhi | Family Medicine | 2040 S. Santa Cruz Street, #245, Anaheim, CA 92803-5090 | 2012-06-15 |
| Find all providers in ANAHEIM | ||||
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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.