Advanced Healthcare Administration

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

ADVANCED HEALTHCARE ADMINISTRATION

Practice address

100 N State College Blvd Ste C
Fullerton, CA 92831-4236

Phone

(213) 306-8129

Fax

(866) 200-6794

NPI assigned

Oct 14, 2020

Last updated

Apr 29, 2025By 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

Ana V Moncada

Title

Program Administrator

Phone

(562) 565-3529

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1336747013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 GAGE AVE STE 4",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902011425",
            "telephone_number": "562-565-3529",
            "fax_number": "668-200-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N STATE COLLEGE BLVD STE C",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314236",
            "telephone_number": "213-306-8129",
            "fax_number": "866-200-6794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Gage Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Bell",
            "state": "CA",
            "postal_code": "902011425",
            "country_code": "US",
            "telephone_number": "213-306-8129",
            "fax_number": "866-200-6794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED HEALTHCARE ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "MONCADA",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "562-565-3529"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Martha Adkins, OTR/L
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• Advance Recovery Solution, LLC
• Advanced Fullerton Imaging, Inc.
• Advanced Memorial Imaging Group, a Medical Corporation
• Advanced Skincare Dermatology Inc
• Advanced Skincare Physician Assistant Corporation (Pac)
• Advanced Skincare, a Professional Corp.
• After Hours Acupuncture

• Case Manager/Care Coordinator in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.