COUNTY OF ORANGE (NPI# 1962549774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962549774 |
| Entity Type | Organization |
| Organization Name | COUNTY OF ORANGE |
| Other Organization Name | CYS NORTH REGION |
| Practice Address |
120 S State College Blvd Ste 150 Brea CA 92821-5807 |
| Mailing Address |
405 W 5th St Ste 212 Santa Ana CA 92701-4522 |
| Practice Telephone | 7145775400 |
| Practice Fax Number | 7145775450 |
| Mailing Telephone | 7145685614 |
| Mailing Fax Number | 7148346595 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2019-12-20 |
| Authorized Official Name | DR. CHI Y RAJALINGAM (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 7148343154 |
| Authorized Official Credential | PH.D., CHC |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF ORANGE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 8067 | 05 |
| Other Name | Type Code |
|---|---|
| CYS North Region | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649716770 | County of Orange | Clinic/Center | 2200 W Orangewood Ave, Suite 212, Orange, CA 92868-1945 | 2017-01-12 |
| 1114248671 | County of Orange | Clinic/Center | 200 W Santa Ana Blvd Fl 10, Santa Ana, CA 92701-4134 | 2010-06-18 |
| 1720212020 | County of Orange | Clinic/Center | 4771 Campus Dr, Irvine, CA 92612-3201 | 2009-05-14 |
| 1740431436 | County of Orange | Clinic/Center | 1725 W 17th St Ste 101f, Santa Ana, CA 92706-2316 | 2008-10-01 |
| 1336324409 | County of Orange | Clinic/Center | 30 Harriman Dr, Goshen, NY 10924-2410 | 2008-01-08 |
| 1114108982 | County of Orange | Case Management | 200 W Santa Ana Blvd, Ste 800, Santa Ana, CA 92701 | 2007-11-20 |
| 1457574683 | County of Orange | Clinic/Center | 5 Mareblu, Suites 100, 200, and 250, Aliso Viejo, CA 92656-3014 | 2007-04-10 |
| 1063550929 | County of Orange | Clinical Medical Laboratory | 1729 W 17th St, Santa Ana, CA 92706-2316 | 2007-02-02 |
| 1346387743 | County of Orange | Clinic/Center | 2801 Bristol St, Costa Mesa, CA 92626-5996 | 2007-02-01 |
| 1881731289 | County of Orange | Clinic/Center | 455 W Baker Ave, Fullerton, CA 92832-3269 | 2007-02-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COUNTY OF ORANGE | 333 West Santa Ana Blvd Fl 3, Santa Ana, CA 92701-4017 |
| Vermont Business Registrations | COUNTY OF ORANGE SPECIAL INVESTIGATION & ADVOCACY TEAM INC. | Rr1 Box 30 G, Chelsea, VT 05038 |
| Street Address |
120 S STATE COLLEGE BLVD STE 150 |
| City | BREA |
| State | CA |
| Zip Code | 92821-5807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528698750 | Jeannie Han | Marriage & Family Therapist | 120 S State College Blvd Ste 150, Brea, CA 92821-5837 | 2020-01-15 |
| 1619517174 | Julia Salgado Santos Hollowell | Marriage & Family Therapist | 120 S State College Blvd Ste 150, Brea, CA 92821-5837 | 2020-01-13 |
| 1164062857 | Paula Ong | Marriage & Family Therapist | 120 S State College Blvd Ste 150, Brea, CA 92821-5837 | 2020-01-09 |
| 1265095574 | Susan Evbuomwan | Counselor | 120 S State College Blvd Ste 150, Brea, CA 92821-5807 | 2019-04-22 |
| 1609375567 | Diana Santana | Social Worker | 120 S State College Blvd Ste 150, Brea, CA 92821-5837 | 2018-02-06 |
| 1467701771 | Helen Huerta Guzman | Marriage & Family Therapist | 120 S State College Blvd Ste 150, Brea, CA 92821-5837 | 2012-08-31 |
| 1215136700 | Angelica Hernandez | Marriage & Family Therapist | 120 S State College Blvd Ste 150, Brea, CA 92821-5837 | 2007-07-13 |
| 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 | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112157 | 10-20 Club Inc. | Clinic/Center | 8221 3rd St Ste 403, Downey, CA 90241-3733 | 2020-10-20 |
| 1447857040 | Mary Cox, Lmft | Clinic/Center | 13800 Heacock St Ste 230a, Moreno Valley, CA 92553-8824 | 2020-10-06 |
| 1821607771 | Tonya Octave, Lcsw, Prof Corp | Clinic/Center | 237 S Lakeview Ave Ste A, Placentia, CA 92870-6756 | 2020-07-27 |
| 1972121762 | Environmental Alternatives Susanville | Clinic/Center | 2003 Main St, Susanville, CA 96130-4501 | 2020-07-08 |
| 1083231781 | Treehouse Child Therapy Professional Corporation | Clinic/Center | 514 N California Ave Ste 13, Beaumont, CA 92223-2120 | 2020-06-29 |
| 1083230262 | Socal Adolescent Wellness, Inc. | Clinic/Center | 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630-2899 | 2020-06-23 |
| 1447876123 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 454 E Cerritos St, Rialto, CA 92376-3658 | 2020-06-18 |
| 1669098505 | Rowi Valencia, Inc. | Clinic/Center | 27413 Tourney Rd Ste 150, Valencia, CA 91355-5604 | 2020-06-16 |
| 1386267870 | Bni Treatment Centers | Clinic/Center | 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 | 2020-05-19 |
| 1538781042 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 3872 Carthage St, Riverside, CA 92501-2102 | 2020-05-07 |
| 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.