NPIMap

Organization Active NPI

St Jeanne de Lestonnac Free Clinic, Inc.

  • Voluntary or Charitable Agency
  • Orange, CA
National Provider Identifier
1134348147
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
060000070 Issued in CA
Legal business name
ST JEANNE DE LESTONNAC FREE CLINIC, INC.
Practice address
1215 E Chapman Ave
Orange, CA 92866-2237
Phone
(714) 633-4600
Fax
(714) 633-1412
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mr. Edward F. Gerber
Title
Executive Director
Phone
(714) 633-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 060000070 CA Primary

Addresses

Primary practice location

1215 E Chapman Ave
Orange, CA 92866-2237

Mailing address

1215 E Chapman Ave
Orange, CA 92866-2237
Phone (714) 633-4600

National Provider Directory

National Provider Directory
Tax ID family
St Jeanne de Lestonnac Free Clinic Inc2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1134348147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662237",
            "telephone_number": "714-633-4600",
            "fax_number": "714-633-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662237",
            "telephone_number": "714-633-4600",
            "fax_number": "714-633-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JEANNE DE LESTONNAC FREE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-633-4600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "CA",
            "license": "060000070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.