Active NPI
Lestonnac Free Clinic
- Clinic/Center
- Orange, CA
National Provider Identifier
1457724023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- LESTONNAC FREE CLINIC
- Practice address
- 1215 E Chapman Ave
Orange, CA 92866-2237 - Phone
- (714) 644-4600
- NPI assigned
- Nov 4, 2015
- Organization subpart
- Yes
- Parent organization
- ST JEANNE DE LESTONNAC FREE CLINIC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Teresa Mullin, FNP
- Title
- Nurse Practitioner
- Phone
- (949) 413-1619
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1215 E Chapman Ave
Orange, CA 92866-2237
Mailing address
1215 E Chapman Ave
Orange, CA 92866-2237
Phone (714) 633-4600
National Provider Directory
National Provider Directory- Tax ID family
- Lestonnac Free Clinic
- Part of
- Lestonnac Free Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Voluntary or Charitable Agency
- Orange, CA
- NPI 1134348147
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Voluntary or Charitable Agency
- Orange, CA
- NPI 1134348147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446595200000",
"number": "1457724023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 E CHAPMAN AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662237",
"telephone_number": "714-633-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 E CHAPMAN AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662237",
"telephone_number": "714-644-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LESTONNAC FREE CLINIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST JEANNE DE LESTONNAC FREE CLINIC",
"enumeration_date": "2015-11-04",
"last_updated": "2015-11-04",
"status": "A",
"authorized_official_last_name": "MULLIN",
"authorized_official_first_name": "TERESA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "949-413-1619",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"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 Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.