Orange Coast Memorial Medical Center

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ORANGE COAST MEMORIAL MEDICAL CENTER

Practice address

18035 Brookhurst St
Suite 1400
Fountain Valley, CA 92708

Phone

(714) 378-5701

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Chris Finch

Title

Chief Compliance Officer

Phone

(714) 377-3218

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Orange Coast Memorial Outpatient Pharmacy Other name

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angelique C Floerke, MD

  • Diagnostic Radiology Physician
  • Laguna Hills, CA
  • NPI 1588982615
  NPD (past)
• Lalita M. Komanapalli, MD

  • Internal Medicine Physician
  • Fountain Valley, CA
  • NPI 1578560884
  NPD (past)
• Samantha Mehta Kubaska, M.D.

  • Diagnostic Radiology Physician
  • Laguna Hills, CA
  • NPI 1235174111
  NPD (past)
• Gary M. Levine, M.D.

  • Diagnostic Radiology Physician
  • Laguna Hills, CA
  • NPI 1689614224
  NPD (past)
• Nicole Sondel Lewis, MD

  • Diagnostic Radiology Physician
  • Laguna Hills, CA
  • NPI 1316103500
  NPD (past)
• Lauralyn Reynolds Markle, M.D.

  • Diagnostic Radiology Physician
  • Laguna Hills, CA
  • NPI 1396744793
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1104372846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 TALBERT AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18035 BROOKHURST ST",
            "address_2": "SUITE 1400",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-378-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COAST MEMORIAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "FINCH",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "714-377-3218"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP30678G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange Coast Memorial Outpatient Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Orange Coast Memorial Outpatient Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Opi Medical Supplies Inc
• Optimum Care Network Inc.
• Opus Hospice, Inc
• Orange Coast Eye Center Inc
• Orange Coast Medical, a Medical Corporation
• Orange Coast Memorial Medical Center
• Orange Coast Psychological Associates, P.C.
• Orange Coast Radiation Oncology Medical Group
• Orange County Cardio Center, Inc
• Orange County Caregivers, Inc.

• All providers in Fountain Valley, CA
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.