Organization Active NPI

Crittenton Services

  • Rehabilitation Practitioner
  • Fullerton, CA
National Provider Identifier
1033497003
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
CRITTENTON SERVICES
Practice address
100 E Valley View Dr
Fullerton, CA 92832-1321
Phone
(714) 680-8268
NPI assigned
Jul 25, 2011
Last updated
Aug 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Edna Fabiola Parada
Title
Intern
Phone
(909) 636-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X NU Primary

Addresses

Primary practice location

100 E Valley View Dr
Fullerton, CA 92832-1321

Mailing address

801 E Chapman Ave Ste 203
Fullerton, CA 92831-3846
Phone (714) 680-8210

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2090916Crittenton Services100 E Valley View, Fullerton, CA 92832Certificate of waiverFeb 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Crittenton Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 E Valley View Dr
Fullerton, CA 92832
Phone (714) 680-8257

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1033497003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E CHAPMAN AVE STE 203",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313846",
            "telephone_number": "714-680-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E VALLEY VIEW DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321321",
            "telephone_number": "714-680-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENTON SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "PARADA",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "FABIOLA",
        "authorized_official_title_or_position": "INTERN",
        "authorized_official_telephone_number": "909-636-1133"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.