Fountian Valley Regional Medical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

364193 Issued in CA

Legal business name

FOUNTIAN VALLEY REGIONAL MEDICAL CENTER

Practice address

17100 Euclid St
Fountain Valley, CA 92708-4004

Phone

(714) 966-8128

NPI assigned

Aug 25, 2014

Last updated

Aug 25, 2014By 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

Younghi Kim, RN

Title

Rnfa

Phone

(714) 966-8128

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1255731428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21136 SUNWOOD DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893317",
            "telephone_number": "909-598-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 EUCLID ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084004",
            "telephone_number": "714-966-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTIAN VALLEY REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNGHI",
        "authorized_official_title_or_position": "RNFA",
        "authorized_official_telephone_number": "714-966-8128",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "364193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fountain Valley School District
• Fountain Valley SD
• Fountain Valley Senior Homes LLC (Fountain Valley Senior Homes 2)
• Fountain Valley Senior Homes LLC (Fountain Valley Senior Homes)
• Fountain Valley Surgery Center, LLC
• Four Elements Corporation
• Franchesca Nguyen Chiropractic Corporation (OC Live Active Chiropractic)
• Brian A Francis, M.D.
• Kelly Francis, M.D.
• Esmeralda Franco

• Ambulatory Surgical Clinic/Center in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.