NPIMap

Organization Active NPI

Children'S Hospital of Orange County

  • Primary Care Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1023091899
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
546154 Issued in CA
Legal business name
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Practice address
406 S Main St
Santa Ana, CA 92701-5712
Phone
(714) 289-4800
NPI assigned
Nov 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Vivian Derr, PNP
Title
Manager Outreach Clinics
Phone
(714) 289-4812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 546154 CA Primary

Addresses

Primary practice location

406 S Main St
Santa Ana, CA 92701-5712

Mailing address

1314 Vista Prado
San Clemente, CA 92673-3649
Phone (714) 997-3000

National Provider Directory

National Provider Directory
Tax ID family
Regional Ctr for the55 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023091899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 VISTA PRADO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926733649",
            "telephone_number": "714-997-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S MAIN ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015712",
            "telephone_number": "714-289-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL OF ORANGE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DERR",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "MANAGER OUTREACH CLINICS",
        "authorized_official_telephone_number": "714-289-4812",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "546154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.