Orange Hills Medical Group

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

ORANGE HILLS MEDICAL GROUP

Doing business as

Orange Hills Chiropractic

Practice address

1520 E Lincoln Ave
Orange, CA 92865-1928

Phone

(714) 770-8350

NPI assigned

Apr 17, 2013

Last updated

Apr 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Liceaga, RN

Title

Administrator

Phone

(714) 770-8366

Specialties & licenses 2

Addresses

Other names 1

• Orange Hills Chiropractic Doing business as

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1043654304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 IMPERIAL HWY",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928351020",
            "telephone_number": "714-770-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 E LINCOLN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651928",
            "telephone_number": "714-770-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE HILLS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "LICEAGA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-770-8366",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange Hills Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orange Diagnostic Ultrasound, Inc.
• Orange Doctors of Kids and Teens
• Orange Family Dentistry (Jay J Berger)
• Orange Family Medicine Inc
• Orange Healthcare & Wellness Centre LLC (Orange Healthcare and Wellness Centre)
• Orange Infertility Obstetrical and Gynecological Medical Group, Inc
• Orange Optical
• Orange Orthopedic Medica GP, Inc. the Providence BLDG
• Orange Park Smiles Studio
• Orange Partners Surgicenter, LLC

• Sports Physician Chiropractor in Orange, CA
• Providers in Orange, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.