Active NPI
North Orange County Regional Health Foundation
- Community Health Clinic/Center
- Anaheim, CA
National Provider Identifier
1194974402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- License
- 550000830
- Legal business name
- NORTH ORANGE COUNTY REGIONAL HEALTH FOUNDATION
- Practice address
- 1182 N Euclid St
Anaheim, CA 92801-1900 - Phone
- (714) 441-0411
- Fax
- (714) 441-1824
- NPI assigned
- Sep 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rocio Magdaleno
- Title
- Chief Executive Officer
- Phone
- (657) 276-7603
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1194974402 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | 1194974402 | CA | |
| Community/Behavioral Health Agency | 251S00000X | |||
| Community Health Clinic/Center | 261QC1500X | 550000830 | CA | Primary |
Addresses
Primary practice location
1182 N Euclid St
Anaheim, CA 92801-1900
Mailing address
1182 N Euclid St
Anaheim, CA 92801-1900
Phone (714) 441-0411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194974402 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
Federally qualified health center certification: CCN 751094
- Legal name
- NORTH ORANGE COUNTY REGIONAL HEALTH FOUNDATION
- Doing business as
- FAMILY HEALTH MATTERS COMMUNITY HEALTH CENTER
- Organization structure
- Corporation
- Incorporated
- in CA
- Enrollment address
- 1182 N Euclid St
Anaheim, CA 92801-1900
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2212453 | North Orange County Regional Health Foundation | Certificate of waiver | Feb 3, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Renee Kaminski | Corporate Director | May 1, 2013 | |
| Herberto Hernandez | Corporate Director | May 1, 2013 | |
| Debbie Cardenas | Corporate Officer | Sep 1, 2013 | 100% |
| W-2 Managing Employee | May 1, 2013 | 100% | |
| Erika Medina | Corporate Director | May 1, 2013 | |
| Bridgette Waller | Corporate Director | May 1, 2013 | |
| Catherin Curm | Corporate Director | May 1, 2013 | |
| Franklin Gonzalez | Corporate Director | May 1, 2013 | |
| Linda Low | Corporate Director | Aug 20, 2013 | |
| Sideharth Dakoria | Corporate Director | Jun 11, 2013 | |
| Mervat Morcos | Corporate Director | May 1, 2013 | |
| Ramona M Shelton-Finch | Corporate Officer | Oct 15, 2018 | |
| W-2 Managing Employee | Oct 15, 2018 |
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Alameda, CA
- NPI 1649648148
-
- General Practice Physician
- Fullerton, CA
- NPI 1417196098
-
- Medical Physician Assistant
- Santa Ana, CA
- NPI 1629064878
-
- Medical Physician Assistant
- Fullerton, CA
- NPI 1205285079
-
- Physician Assistant
- Brawley, CA
- NPI 1376267492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664236800000",
"number": "1194974402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1182 N EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011900",
"telephone_number": "714-441-0411",
"fax_number": "714-441-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1182 N EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011900",
"telephone_number": "714-441-0411",
"fax_number": "714-441-1824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH ORANGE COUNTY REGIONAL HEALTH FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-10",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A",
"authorized_official_last_name": "MAGDALENO",
"authorized_official_first_name": "ROCIO",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "657-276-7603"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "1194974402",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "1194974402",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "CA",
"license": "550000830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194974402",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.