NPIMap

Organization Active NPI

County of Orange

  • Physical Therapy Clinic/Center
  • Mission Viejo, CA
National Provider Identifier
1174660740
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
COUNTY OF ORANGE
Practice address
24171 Pavion
Mission Viejo, CA 92692-2200
Phone
(949) 707-2190
NPI assigned
Jan 31, 2007
Organization subpart
Yes
Parent organization
COUNTY OF ORANGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Authorized official

Name
Dr. CHI Y Rajalingam, PH.D., CHC
Title
Chief Compliance Officer
Phone
(714) 834-3154

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Addresses

Primary practice location

24171 Pavion
Mission Viejo, CA 92692-2200

Mailing address

405 W 5TH St Ste 212
Santa Ana, CA 92701-4522
Phone (714) 568-5614

Other identifiers 1

IdentifierTypeStateIssuer
CCS00053FMedicaidCA

Other names 1

  • HCA-PHS-CCS-MTU-Reilly Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Human Services Agency42 organizations share this tax ID, including this one
Part of
Human Services Agency

Other organizations with this tax ID 41

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

View all 41

Locations

24171 Pavion
Mission Viejo, CA 92692
Phone (949) 707-2190

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1174660740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W 5TH ST STE 212",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014522",
            "telephone_number": "714-568-5614",
            "fax_number": "714-834-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24171 PAVION",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926922200",
            "telephone_number": "949-707-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ORANGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF ORANGE",
        "enumeration_date": "2007-01-31",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "RAJALINGAM",
        "authorized_official_first_name": "CHI",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "714-834-3154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., CHC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CCS00053F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HCA-PHS-CCS-MTU-Reilly",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HCA-PHS-CCS-MTU-Reilly",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.