Community Care Health Centers

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

550000166 Issued in CA

Legal business name

COMMUNITY CARE HEALTH CENTERS

Doing business as

Clinic For Women

Practice address

1241 W 17TH St
Suite 1
Santa Ana, CA 92706-3459

Phone

(714) 285-9811

Fax

(714) 285-9822

NPI assigned

Jan 25, 2007

Last updated

Jul 21, 2008By 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

Tracey K Gould

Title

Cfo

Phone

(714) 500-0200

Specialties & licenses 1

Addresses

Other names 1

• Clinic For Women Doing business as

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1194871137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8041 NEWMAN AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477034",
            "telephone_number": "714-500-0200",
            "fax_number": "714-842-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 W 17TH ST",
            "address_2": "SUITE 1",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063459",
            "telephone_number": "714-285-9811",
            "fax_number": "714-285-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-500-0200"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "550000166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinic For Women",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin T Columnas, BEHAVIORAL TECHNICIA
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• Lynette Kay Colyer Fultz, P.T.A.
• Janelle Pham Comfort, D.M.D.
• Matthew Comfort, D.M.D
• Community Dental Services (SmileCare Dental Group)
• Community Dental Services (SmileCare Dental Group)
• Community Dental Services (SmileCare Dental Group)
• Community Health Initiative of Orange County
• Community Medicine Inc.

• Obstetrics & Gynecology Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.