Active NPI
Fertility Care of Orange County
- Ambulatory Fertility Facility
- Brea, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Fertility Facility
- License
- G074495
- Legal business name
- FERTILITY CARE OF ORANGE COUNTY
- Practice address
- 203 N Brea Blvd
Ste #100
Brea, CA 92821-4056 - Phone
- (714) 256-0777
- Fax
- (714) 256-0105
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Changnin Terence Lee, MD
- Title
- Medical Doctor
- Phone
- (714) 256-0777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Fertility Facility | 261QA0006X | G074495 | CA | Primary |
Addresses
Primary practice location
203 N Brea Blvd
Ste #100
Brea, CA 92821-4056
Mailing address
203 N Brea Blvd
Ste #100
Brea, CA 92821-4056
Phone (714) 256-0777
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0979897 | Fertility Care of Orange County | Compliance | Sep 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
203 N Brea Blvd
Ste 100
Brea, CA 92821
Phone (714) 256-0105
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Brea, CA
- NPI 1427239128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1366466740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 N BREA BLVD",
"address_2": "STE #100",
"city": "BREA",
"state": "CA",
"postal_code": "928214056",
"telephone_number": "714-256-0777",
"fax_number": "714-256-0105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 N BREA BLVD",
"address_2": "STE #100",
"city": "BREA",
"state": "CA",
"postal_code": "928214056",
"telephone_number": "714-256-0777",
"fax_number": "714-256-0105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FERTILITY CARE OF ORANGE COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "CHANGNIN",
"authorized_official_middle_name": "TERENCE",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "714-256-0777",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA0006X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Fertility Facility",
"state": "CA",
"license": "G074495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.