Organization Active NPI

Apollo Health Services Inc

  • Primary Care Clinic/Center
  • Orange, CA
National Provider Identifier
1386258754
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
APOLLO HEALTH SERVICES INC
Practice address
438 E Katella Ave Ste 229
Orange, CA 92867-4803
Phone
(714) 341-1807
NPI assigned
Sep 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Kisa Fatima
Title
Ceo
Phone
(714) 341-1807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

438 E Katella Ave Ste 229
Orange, CA 92867-4803

Mailing address

438 E Katella Ave Ste 229
Orange, CA 92867-4803

National Provider Directory

National Provider Directory

Locations

438 E Katella Ave
Ste 229
Orange, CA 92867
Phone (714) 482-5159

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1386258754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 E KATELLA AVE STE 229",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 E KATELLA AVE STE 229",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674803",
            "telephone_number": "714-341-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "FATIMA",
        "authorized_official_first_name": "KISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-341-1807"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.