Organization Active NPI

Illumination Health and Home

  • Respite Care
  • Fullerton, CA
National Provider Identifier
1073863056
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
ILLUMINATION HEALTH AND HOME
Practice address
3535 W Commonwealth Ave
Fullerton, CA 92833-2821
Phone
(949) 273-0555
NPI assigned
Sep 17, 2012
Last updated
Aug 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Dr. Pooja Bhalla, DNP, RN
Title
Ceo
Phone
(949) 502-0339

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Voluntary or Charitable Agency 251V00000X
Respite Care 385H00000X Primary
Community/Behavioral Health Agency 251S00000X
Supports Brokerage Agency 251X00000X

Addresses

Primary practice location

3535 W Commonwealth Ave
Fullerton, CA 92833-2821

Mailing address

2871 Pullman St
Santa Ana, CA 92705-5713
Phone (949) 273-0555

Other practice location 1

1815 Carnegie Ave
Santa Ana, CA 92705-5527
Phone (949) 273-0555

Other practice location 2

111 West Redlands Boulevard
San Bernardino, CA 92408
Phone (949) 273-0555

Other practice location 3

2030 Iowa Ave Ste 110
Riverside, CA 92507-7416
Phone (949) 273-0555

Other practice location 4

111 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Phone (949) 273-0555

Other practice location 5

14330 Telegraph Rd
Whittier, CA 90604-2905
Phone (949) 273-0555

Other practice location 6

7555 Beach Blvd
Buena Park, CA 90620-1835
Phone (949) 273-0555

Other practice location 7

14134 Bucher Ave
Sylmar, CA 91342
Phone (949) 273-0555

Other practice location 8

9942 Broadway
Anaheim, CA 92804-2308
Phone (949) 273-0555

Other practice location 9

3024 Franklin Ave
Riverside, CA 92507-3314
Phone (949) 273-0555

Other practice location 10

16310 Arthur St
Cerritos, CA 90703-2129
Phone (949) 273-0555

Other practice location 11

1091 N Batavia St
Orange, CA 92867
Phone (949) 273-0555 ext. 108

Other practice location 12

7855 Katella Ave
Stanton, CA 90680-3150
Phone (949) 273-0555 ext. 108

Other identifiers 1

IdentifierTypeStateIssuer
10055MedicaidCA

Other names 1

  • Illumination Foundation Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Illumination Foundation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

7555 Beach Blvd
Buena Park, CA 90620

16310 Arthur St
Cerritos, CA 90703

3024 Franklin Ave
Riverside, CA 92507
Phone 9492730555 ext. 420

1815 Carnegie Ave
Santa Ana, CA 92705
Phone (949) 243-7788

2871 Pullman St
Santa Ana, CA 92705

7855 Katella Ave
Stanton, CA 90680
Phone (714) 507-2493

14134 Bucher Ave
Sylmar, CA 91342

14330 Telegraph Rd
Whittier, CA 90604

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1073863056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2871 PULLMAN ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055713",
            "telephone_number": "949-273-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W COMMONWEALTH AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332821",
            "telephone_number": "949-273-0555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 Carnegie Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927055527",
            "country_code": "US",
            "telephone_number": "949-273-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 West Redlands Boulevard",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "92408",
            "country_code": "US",
            "telephone_number": "949-273-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 Iowa Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925077416",
            "country_code": "US",
            "telephone_number": "949-273-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 E Valencia Mesa Dr",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928353809",
            "country_code": "US",
            "telephone_number": "949-273-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14330 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906042905",
            "country_code": "US",
            "telephone_number": "949-273-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7555 Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Buena Park",
            "state": "CA",
            "postal_code": "906201835",
            "country_code": "US",
            "telephone_number": "949-273-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14134 Bucher Ave",
            "address_purpose": "LOCATION",
            "city": "Sylmar",
            "state": "CA",
            "postal_code": "91342",
            "country_code": "US",
            "telephone_number": "949-273-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9942 Broadway",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928042308",
            "country_code": "US",
            "telephone_number": "949-273-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3024 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925073314",
            "country_code": "US",
            "telephone_number": "949-273-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16310 Arthur St",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907032129",
            "country_code": "US",
            "telephone_number": "949-273-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1091 N Batavia St",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "92867",
            "country_code": "US",
            "telephone_number": "949-273-0555 x108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7855 Katella Ave",
            "address_purpose": "LOCATION",
            "city": "Stanton",
            "state": "CA",
            "postal_code": "906803150",
            "country_code": "US",
            "telephone_number": "949-273-0555 x108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ILLUMINATION HEALTH AND HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "BHALLA",
        "authorized_official_first_name": "POOJA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-502-0339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10055",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illumination Foundation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 7, 2025; 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.