Poppy Life Care Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

POPPY LIFE CARE INC

Practice address

307 Placentia Ave
Newport Beach, CA 92663-3310

Phone

(949) 307-3537

NPI assigned

Nov 14, 2022

Organization subpart

No

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

Authorized official

Name

Erica Solis

Title

Chief Executive Officer

Phone

(949) 307-3537

Specialties & licenses 3

Addresses

Other names 1

• Poppy Life Care Doing business as

Practitioners 1

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

• Raksmey Tiano, PHD

  • Community Health Worker
  • Stockton, CA
  • NPI 1649440280

  Professional

  NPD

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1235847682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 PLACENTIA AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633310",
            "telephone_number": "949-307-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 PLACENTIA AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633310",
            "telephone_number": "949-307-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPPY LIFE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "SOLIS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "949-307-3537"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poppy Life Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Pon, M.S.
• Christian-Jeff Mistica Pontiga
• Jessica Ann Poole
• Lisa Louise Popper, LMFT
• Poppy Life Care Foundation, Inc.
• Luis A. Portal-Queirolo, PSY.D.
• Brian J Porteous, D.C.
• Naomi Y Porter, PA-C
• David Porzio, M.D.
• Posc of Orange, LLC

• Community/Behavioral Health Agency in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.