Organization Active NPI

Lestonnac Free Clinic

  • Clinic/Center
  • Orange, CA
National Provider Identifier
1457724023
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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 CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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)CodeLicenseStatePrimary
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 Clinic2 organizations share this tax ID, including this one
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.

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.

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.

Verify at the official NPI Registry.