Active NPI
St. Joseph Hospital of Orange
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Santa Ana, CA
National Provider Identifier
1326297078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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, 2014
- Organization subpart
- Yes
- Parent organization
- ST. JOSEPH HOSPITAL OF ORANGE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSC30069F | Medicaid | CA |
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
- Jon Joseph Sprekelmeyer
- Kristy Michelle Spurgin
- Boontarika Sripom
- Juliet Tubat Srirat, RN , BSN
- Kathryn Sroka
- St. Joseph Satellite Dialysis Centers, LLC (St. Joseph Satellite Healthcare)
- St. Jude Neighborhood Health Centers
- St. Jude Neighborhood Health Centers (Puente A La Salud Vision Clinic)
- Joseph Marie Perez St. Pierre, MD
- Stable Home Health Inc
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.