Organization Active NPI

St. Joseph Hospital of Orange

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1326297078
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ST. JOSEPH HOSPITAL OF ORANGE
Practice address
2212 E 4TH St
Santa Ana, CA 92705-3811
Phone
(714) 771-8000
NPI assigned
Sep 17, 2008
Last updated
Nov 4, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. JOSEPH HOSPITAL OF ORANGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Ms. Kristi Liberatore
Title
V.P. Chief Financial Officer
Phone
(714) 771-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

2212 E 4TH St
Santa Ana, CA 92705-3811

Mailing address

PO Box 5600
Orange, CA 92863-5600
Phone (714) 771-8238

Other identifiers 1

IdentifierTypeStateIssuer
HSC30069FMedicaidCA

National Provider Directory

National Provider Directory
Part of
St Joseph Hospital of Orange

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1326297078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5600",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928635600",
            "telephone_number": "714-771-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 E 4TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053811",
            "telephone_number": "714-771-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH HOSPITAL OF ORANGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. JOSEPH HOSPITAL OF ORANGE",
        "enumeration_date": "2008-09-17",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "LIBERATORE",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "V.P. CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "714-771-8000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30069F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.