THC - ORANGE COUNTY, LLC (NPI# 1902038169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902038169 |
| Entity Type | Organization |
| Organization Name | THC - ORANGE COUNTY, LLC |
| Practice Address |
875 N Brea Blvd Brea CA 92821 |
| Mailing Address |
875 N Brea Blvd Brea CA 92821-2606 |
| Practice Telephone | 7145296842 |
| Practice Fax Number | 7142561041 |
| Mailing Telephone | 7145296842 |
| Mailing Fax Number | 7142561041 |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | MR. MOSTAFA ADAM DARVISH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7148934541 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HSP30711F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043395742 | Thc - Orange County, LLC | Long Term Care Hospital | 550 N Monterey Ave, Ontario, CA 91764 | 2006-10-25 |
| 1093947251 | Thc - Orange County, LLC | General Practice | 1940 El Cajon Blvd, San Diego, CA 92104 | 2009-08-20 |
| 1578795738 | Thc - Orange County, LLC | General Practice | 550 N Monterey Ave, Ontario, CA 91764 | 2009-08-20 |
| 1679705826 | Thc - Orange County, LLC | General Practice | 200 Hospital Cir, Westminster, CA 92683 | 2009-08-20 |
| 1629240577 | Thc - Orange County, LLC | Skilled Nursing Facility | 875 N Brea Blvd, Brea, CA 92821 | 2008-04-01 |
| 1821204058 | Thc - Orange County, LLC | General Practice | 5525 W Slauson Ave, Los Angeles, CA 90056 | 2007-05-15 |
| 1780768416 | Thc - Orange County, LLC | Long Term Care Hospital | 875 N Brea Blvd, Brea, CA 92821 | 2006-10-25 |
| 1447335146 | Thc - Orange County, LLC | Long Term Care Hospital | 5525 W Slauson Ave, Los Angeles, CA 90056 | 2006-10-25 |
| 1528143179 | Thc - Orange County, LLC | Long Term Care Hospital | 200 Hospital Cir, Westminster, CA 92683 | 2006-10-25 |
| 1992880512 | Thc - Orange County, LLC | Long Term Care Hospital | 1940 El Cajon Blvd, San Diego, CA 92104 | 2006-10-25 |
| Street Address |
875 N BREA BLVD |
| City | BREA |
| State | CA |
| Zip Code | 92821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891721171 | Chiangyuan Chuck Liau | Dermatology | 875 N Brea Blvd, Brea, CA 92821-2606 | 2006-06-25 |
| 1801377353 | Lucyna Izabela Ando | Speech-Language Pathologist | 875 N Brea Blvd, Brea, CA 92821-2606 | 2018-08-23 |
| 1790023240 | Robert E Record Phd A Psychological Corporation | Clinic/Center | 875 N Brea Blvd, Brea, CA 92821-2606 | 2013-01-17 |
| 1902198575 | Kyung-ran Tae | Occupational Therapist | 875 N Brea Blvd, Brea, CA 92821-2606 | 2011-05-13 |
| 1346579943 | Knd Development 59, LLC | Hospitalist | 875 N Brea Blvd, Brea, CA 92821-2606 | 2009-12-10 |
| 1386971380 | Jan Allyson Snavely | Speech-Language Pathologist | 875 N Brea Blvd, Brea, CA 92821-2606 | 2009-11-11 |
| 1629240577 | Thc - Orange County, LLC | Skilled Nursing Facility | 875 N Brea Blvd, Brea, CA 92821 | 2008-04-01 |
| 1801920673 | Marjorie Abrenilla Delos Angeles | Contractor | 875 N Brea Blvd, Brea, CA 92821-2606 | 2007-03-15 |
| 1780768416 | Thc - Orange County, LLC | Long Term Care Hospital | 875 N Brea Blvd, Brea, CA 92821 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844921 | Christina Marie Iezza | Physical Medicine & Rehabilitation | 500 W. Central Ave, Suite B, Brea, CA 92821 | 2020-02-28 |
| 1962052068 | Joanne Chung | Behavioral Analyst | 3050 Saturn Street, #102, Brea, CA 92821 | 2019-09-19 |
| 1508336736 | Sonia Montez | Physical Therapy Assistant | Jump N Schout, 500 W Central Ave, Brea, CA 92821 | 2018-11-30 |
| 1215411921 | Eye View Optometry, Inc | Optometrist | 605 E. Imperial Hwy, Suite C, Brea, CA 92821 | 2018-09-18 |
| 1700395480 | Sheetal Patel | Registered Nurse | 955 W. Imperial Hwy., Suite 220, Brea, CA 92821 | 2017-09-25 |
| 1952827826 | Grace Cho | Occupational Therapist | 875 N Brea Blvd # 600, Brea, CA 92821 | 2017-08-22 |
| 1063959781 | Veronica Meza | Lactation Consultant, Non-RN | 551 Discovery Lane, #115, Brea, CA 92821 | 2017-01-20 |
| 1780045815 | Audrey Alva | Specialist/Technologist | 460 W. Lambert Road, Brea, CA 92821 | 2016-03-17 |
| 1558734921 | Eun Kim Chiropractic Inc | Chiropractor | 411 Atlas Street, Suite A, Brea, CA 92821 | 2015-11-07 |
| 1053784512 | Caremore Health Plan | Nurse Practitioner | 420 W. Central Avenue #a, Brea, CA 92821 | 2015-11-05 |
| Find all providers in zip 92821 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750646402 | Lawrence R Blocher | General Practice | 1400 W Lambert Rd Ste D, Brea, CA 92821-2874 | 2012-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| 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.