Organization Active NPI

VSC Hbo, LLC

Doing business as HealthBridge Children's Hospital

  • Special Hospital
  • Orange, CA
National Provider Identifier
1225015985
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
060000530 Issued in CA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HSP33308FMedicaidCA
LTC55753FMedicaidCA
HST33308FMedicaidCA
HSC3308FMedicaidCA
LTP40008FMedicaidCA
LTC40008FMedicaidCA

Other names 1

  • HealthBridge Children's Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
VSC Hbo LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

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.

Verify at the official NPI Registry.