NPIMap

Organization Active NPI

Orland Children'S Center, a Professional Medical Corporation

  • Primary Care Clinic/Center
  • Orland, CA
National Provider Identifier
1457500217
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
36861 Issued in CA
Legal business name
ORLAND CHILDREN'S CENTER, A PROFESSIONAL MEDICAL CORPORATION
Doing business as
Orland Children's Center
Practice address
116 E Walker St
Orland, CA 95963-1526
Phone
(530) 865-5400
Fax
(530) 865-5455
NPI assigned
Sep 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Authorized official

Name
Yusuf Ali, MDNPI 1053313544
Title
President
Phone
(530) 865-5400

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
Primary Care Clinic/Center 261QP2300X 36861 CA Primary

Addresses

Primary practice location

116 E Walker St
Orland, CA 95963-1526

Mailing address

116 E Walker St
Orland, CA 95963-1526
Phone (530) 865-5400

Other identifiers 1

IdentifierTypeStateIssuer
00A734650MedicaidCA

Other names 1

  • Orland Children's Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081103000589 CA Part A Provider - Rural Health Clinic 2567521784 Practice locations: Orland, CA

Rural health clinic certification: CCN 058936

Legal name
ORLAND CHILDREN'S CENTER, A PROFESSIONAL MEDICAL CORPORATION
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 9, 2009
Last certification
Dec 19, 2018
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Aug 31, 2007 in CA
Enrollment address
116 E Walker St
Orland, CA 95963-1526

National Provider Directory

National Provider Directory
Tax ID family
Orland Children Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Yusuf Ali Individual Corporate DirectorOwner Oct 1, 2008 100%
W-2 Managing EmployeeOwner Oct 1, 2008 100%

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": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1457500217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E WALKER ST",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "959631526",
            "telephone_number": "530-865-5400",
            "fax_number": "530-865-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E WALKER ST",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "959631526",
            "telephone_number": "530-865-5400",
            "fax_number": "530-865-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLAND CHILDREN'S CENTER, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "YUSUF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-865-5400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "36861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A734650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orland Children's Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orland, CA

Sources for this page

Verify at the official NPI Registry.