Organization Active NPI

Orchid Healthcare Inc

Doing business as Orchid Healthcare

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1346628179
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A98273 Issued in CA
Legal business name
ORCHID HEALTHCARE INC
Doing business as
Orchid Healthcare
Practice address
15373 Innovation Drive, Ste 395
San Diego, CA 92128-3429
Phone
(858) 876-3105
Fax
(858) 876-3107
NPI assigned
May 13, 2015
Last updated
May 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Dr. Satya V Tata, M.D.
Title
President
Phone
(858) 876-3105

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PSY25897 CA
Marriage & Family Therapist 106H00000X LMFT84598 CA
Psychiatry Physician 2084P0800X A98273 CA Primary

Addresses

Primary practice location

15373 Innovation Drive, Ste 395
San Diego, CA 92128-3429

Mailing address

15373 Innovation Drive, Ste 395
San Diego, CA 92128-3429
Phone (858) 876-3105

Other names 1

  • Orchid Healthcare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1346628179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15373 INNOVATION DRIVE, STE 395",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283429",
            "telephone_number": "858-876-3105",
            "fax_number": "858-876-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15373 INNOVATION DRIVE, STE 395",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283429",
            "telephone_number": "858-876-3105",
            "fax_number": "858-876-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHID HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "TATA",
        "authorized_official_first_name": "SATYA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-876-3105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY25897",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT84598",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A98273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchid Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.