Organization Active NPI

Fertility Care of Orange County

  • Ambulatory Fertility Facility
  • Brea, CA
National Provider Identifier
1366466740
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Fertility FacilityTaxonomy code 261QA0006X
License
G074495 Issued in CA
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

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Changnin Terence Lee, MDNPI 1427239128
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)CodeLicenseStatePrimary
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 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
05D0979897Fertility Care of Orange County203 N Brea Blvd, Ste 100, Brea, CA 92821ComplianceSep 3, 2027

National Provider Directory

National Provider Directory

Locations

203 N Brea Blvd
Ste 100
Brea, CA 92821
Phone (714) 256-0105

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.