SHARE OUR SELVES CORPORATION (NPI# 1649648817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649648817 |
| Entity Type | Organization |
| Organization Name | SHARE OUR SELVES CORPORATION |
| Other Organization Name | SOS - DR. ROBERT & DOROTHY BEAUCHAMP CHILDREN & FAMILY DENTAL CENTER |
| Practice Address |
307 Placentia Ave Ste 202 Newport Beach CA 92663-3308 |
| Mailing Address |
Po Box 10159 Costa Mesa CA 92627-0050 |
| Practice Telephone | 9492702100 |
| Practice Fax Number | 9495155804 |
| Mailing Telephone | 9492702100 |
| Mailing Fax Number | 9495155804 |
| Enumeration Date | 2015-09-04 |
| 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 |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SOS | Other Name - Individual/Organization |
| SOS - Beauchamp Dental Center | Other Name - Individual/Organization |
| SOS - Dr. Robert & Dorothy Beauchamp Children & Family Dental Center | 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 |
| 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 |
| 1629494398 | Share Our Selves Corporation | Clinic/Center | 27725 Santa Margarita Pkwy Ste 101, Mission Viejo, CA 92691-6706 | 2014-03-05 |
| Street Address |
307 PLACENTIA AVE STE 202 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-3308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447619895 | Kendra Chandhoke | Dentist | 307 Placentia Ave Ste 202, Newport Beach, CA 92663 | 2016-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033514708 | Share Our Selves Corporation | Clinic/Center | 307 Placentia Ave Ste 107, N/a, Newport Beach, CA 92663-3307 | 2014-10-23 |
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| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
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.