North County Regional Health Foundation

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

A65363 Issued in CA

Legal business name

NORTH COUNTY REGIONAL HEALTH FOUNDATION

Practice address

901 W Orangethorpe Ave
Fullerton, CA 92832-2826

Phone

(714) 441-0411

NPI assigned

Jan 15, 2013

Organization subpart

Yes

Parent organization

MEDVANTX INCAs reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP Ops

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Part of

Tri - State Medical Group Inc

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1326385030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W ORANGETHORPE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322826",
            "telephone_number": "714-441-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTY REGIONAL HEALTH FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX INC",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OPS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A65363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Noriega-Jereza
• Priscilla Nicole Noriega
• Veronica Noriega
• Norman J Harris Mda Prof Corp
• North County Medical Transportation Inc.
• North County Surgical Medical Group, Inc
• North Orange County Community College District
• North Orange County Pediatrics Chiles Dan W Et Al Gen PTRS
• North Orange County Physical Rehabilitation, Inc
• North Orange County Sleep Clinic Medical Group Inc

• Non-Pharmacy Dispensing Site in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.