Organization Active NPI

C3 Patients Association

  • Non-Pharmacy Dispensing Site
  • Garden Grove, CA
National Provider Identifier
1447525142
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
C3 PATIENTS ASSOCIATION
Practice address
13210 Harbor Blvd Ste 187
Garden Grove, CA 92843-1737
Phone
(877) 508-4860
Fax
(866) 308-1394
NPI assigned
Mar 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Mrs. Theresa A. Smith
Title
Director
Phone
(714) 865-5335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

13210 Harbor Blvd Ste 187
Garden Grove, CA 92843-1737

Mailing address

13210 Harbor Blvd Ste 187
Garden Grove, CA 92843-1737
Phone (877) 508-4860

Other identifiers 1

IdentifierTypeStateIssuer
101-679006OtherCASELLERS PERMIT

National Provider Directory

National Provider Directory

Locations

13210 Harbor Blvd
Garden Grove, CA 92843
Phone (714) 360-9196

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1447525142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13210 HARBOR BLVD STE 187",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431737",
            "telephone_number": "877-508-4860",
            "fax_number": "866-308-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13210 HARBOR BLVD STE 187",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431737",
            "telephone_number": "877-508-4860",
            "fax_number": "866-308-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C3 PATIENTS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-865-5335",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELLERS PERMIT",
            "identifier": "101-679006",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.