NPIMap

Organization Active NPI

North Orange County Community College District

Doing business as Fullerton College

  • Student Health Clinic/Center
  • Fullerton, CA
National Provider Identifier
1336992379
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
NORTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT
Doing business as
Fullerton College
Practice address
321 E Chapman Ave
Fullerton, CA 92832-2095
Phone
(714) 992-7093
NPI assigned
Apr 9, 2024
Organization subpart
Yes
Parent organization
NORTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Theresa Ullrich, NP
Title
Interim Director
Phone
(714) 992-7094

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

321 E Chapman Ave
Fullerton, CA 92832-2095

Mailing address

321 E Chapman Ave
Fullerton, CA 92832-2095
Phone (714) 992-7093

Other names 1

  • Fullerton College Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0946509Fullerton College Student321 E Chapman Ave, Fullerton, CA 92832Certificate of waiverMay 26, 2028

National Provider Directory

National Provider Directory
Tax ID family
North Orange County Community College District2 organizations share this tax ID, including this one
Part of
North Orange County Community College District

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

321 E Chapman Ave
Fullerton, CA 92832
Phone (714) 992-7093

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1336992379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E CHAPMAN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322095",
            "telephone_number": "714-992-7093",
            "fax_number": "714-992-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E CHAPMAN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322095",
            "telephone_number": "714-992-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "ULLRICH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "INTERIM DIRECTOR",
        "authorized_official_telephone_number": "714-992-7094",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fullerton College",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.