FANCOC INC (NPI# 1720351760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720351760 |
| Entity Type | Organization |
| Organization Name | FANCOC INC |
| Practice Address |
1025 S Anaheim Blvd Anaheim CA 92805-5806 |
| Mailing Address |
27068 La Paz Rd Ste 731 Aliso Viejo CA 92656-3041 |
| Practice Telephone | 9492073457 |
| Practice Fax Number | 9496804147 |
| Mailing Telephone | 9492073457 |
| Mailing Fax Number | 9496804147 |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-09-07 |
| Authorized Official Name | DR. MICHELLE R GRAYDEN (CEO) |
| Authorized Official Telephone | 9492073457 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | G50401 | CA | Hospitals |
| Street Address |
1025 S ANAHEIM BLVD |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92805-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790778488 | Anaheim Global Medical Center, Inc | General Acute Care Hospital | 1025 S Anaheim Blvd, Anaheim, CA 92805-5806 | 2005-08-26 |
| 1508494030 | Poonum Patel | Registered Nurse | 1025 S Anaheim Blvd, Anaheim, CA 92805-5806 | 2020-03-30 |
| 1003324872 | Carmen Ann Gonzales I | Social Worker | 1025 S Anaheim Blvd, Anaheim, CA 92805-5806 | 2018-01-16 |
| 1497288823 | Kevin Chen | Emergency Medicine | 1025 S Anaheim Blvd, Anaheim, CA 92805-5806 | 2017-04-04 |
| 1982078150 | Cep America - California | Emergency Medicine | 1025 S Anaheim Blvd, Anaheim, CA 92805-5806 | 2015-11-25 |
| 1447644141 | Paul Garfield | Pharmacist | 1025 S Anaheim Blvd, Anaheim, CA 92805-5806 | 2015-03-20 |
| 1104196823 | F.a.n.c.o.c | Psychiatric Hospital | 1025 S Anaheim Blvd, Anaheim, CA 92805-5806 | 2012-01-11 |
| 1063717056 | Jasjit Kaur,m.d.inc | Psychiatry & Neurology | 1025 S Anaheim Blvd, Anaheim, CA 92805-5806 | 2011-01-21 |
| 1336442136 | Centennial Emergency Physicians Medical Group Inc | Emergency Medicine | 1025 S Anaheim Blvd, Anaheim, CA 92805-5806 | 2010-12-16 |
| 1013122183 | Chang Hwa Mary Chen, M.d., Inc | Anesthesiology | 1025 S Anaheim Blvd, Anaheim, CA 92805-5806 | 2007-05-11 |
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| 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 | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104196823 | F.a.n.c.o.c | Psychiatric Hospital | 1025 S Anaheim Blvd, Anaheim, CA 92805-5806 | 2012-01-11 |
| 1780709253 | Bum Soo Lee | Psychiatric Hospital | 1020 S Anaheim Blvd, Anaheim, CA 92805-5851 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740892017 | Avamed Inc. | Psychiatric Hospital | 12955 Riverside Dr Apt 204, Sherman Oaks, CA 91423-2202 | 2020-08-18 |
| 1437769957 | North Valley Behavioral Health, LLC | Psychiatric Hospital | 1253 Stabler Lane, Yuba City, CA 95993 | 2020-08-10 |
| 1811549504 | Sacramento Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 1400 Expo Pkwy, Sacramento, CA 95815-4230 | 2019-07-12 |
| 1932603990 | Central Star Behavioral Health, Inc. | Psychiatric Hospital | 496 South Barton Ave, Fresno, CA 93750-0001 | 2018-03-22 |
| 1639601933 | Restpadd Health Corp | Psychiatric Hospital | 925 Walnut St, Red Bluff, CA 96080-3707 | 2017-03-28 |
| 1790223790 | Adrian Zamora | Psychiatric Hospital | 1569 Michael Place, Porterville, CA 93257 | 2017-02-09 |
| 1558812404 | Sonnia A. Ahinasi | Psychiatric Hospital | 4192 Via Napoli, Montclair, CA 91763-4750 | 2016-10-16 |
| 1316399660 | Itzel Lopez | Psychiatric Hospital | 1869 Lombard St, San Francisco, CA 94123-2909 | 2016-07-11 |
| 1770931032 | Ruby Lorraine Summus | Psychiatric Hospital | 4111 Jonathon St, Oceanside, CA 92056-4217 | 2016-05-27 |
| 1760841126 | County of Los Angeles | Psychiatric Hospital | 5800 South St Apt 163, Lakewood, CA 90713-1331 | 2016-02-15 |
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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.