Active NPI
VSC Hbo, LLC
Doing business as HealthBridge Children's Hospital
- Special Hospital
- Orange, CA
National Provider Identifier
1225015985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- License
- 060000530
- Legal business name
- VSC HBO, LLC
- Doing business as
- HealthBridge Children's Hospital
- Practice address
- 393 S Tustin St
Orange, CA 92866-2501 - Phone
- (714) 289-2400
- Fax
- (714) 289-2367
- NPI assigned
- Dec 23, 2005
- Last updated
- Nov 20, 2020
- 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
- Roberta Consolver, RN
- Title
- Ceo
- Phone
- (714) 289-2400
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Chronic Disease Hospital | 281PC2000X | NU | ||
| Children's Hospital | 282NC2000X | NU | ||
| Children's Rehabilitation Hospital | 283XC2000X | NU | ||
| Special Hospital | 284300000X | 060000530 | CA | Primary |
| Long Term Care Hospital | 282E00000X | NU |
Addresses
Primary practice location
393 S Tustin St
Orange, CA 92866-2501
Mailing address
393 S Tustin St
Orange, CA 92866-2501
Phone (714) 289-2400
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSP33308F | Medicaid | CA | |
| LTC55753F | Medicaid | CA | |
| HST33308F | Medicaid | CA | |
| HSC3308F | Medicaid | CA | |
| LTP40008F | Medicaid | CA | |
| LTC40008F | Medicaid | CA |
Other names 1
- HealthBridge Children's Hospital
National Provider Directory
National Provider Directory- Tax ID family
- VSC Hbo LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Healthbridge Children's Hospital
- Pediatric Skilled Nursing Facility
- Orange, CA
- NPI 1629965926
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Brain Injury Medicine (Psychiatry & Neurology) Physician
- Houston, TX
- NPI 1114097748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605830400000",
"number": "1225015985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 S TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662501",
"telephone_number": "714-289-2400",
"fax_number": "714-289-2367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 S TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662501",
"telephone_number": "714-289-2400",
"fax_number": "714-289-2367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VSC HBO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-23",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A",
"authorized_official_last_name": "CONSOLVER",
"authorized_official_first_name": "ROBERTA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-289-2400",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "281PC2000X",
"taxonomy_group": "",
"desc": "Chronic Disease Hospital, Children",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "282NC2000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Children",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "283XC2000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital, Children",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": "CA",
"license": "060000530",
"primary": true
},
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP33308F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC55753F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HST33308F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSC3308F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTP40008F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC40008F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HealthBridge Children's Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.