NPIMap

Organization Active NPI

Epidaurus

  • Case Management Agency
  • Anaheim, CA
National Provider Identifier
1467299263
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
EPIDAURUS
Practice address
280 N Wilshire Ave
Anaheim, CA 92801-1335
Phone
(323) 387-9146
NPI assigned
Jul 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Olga Mellizo
Title
Chief Development Officer
Phone
(970) 889-2351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

280 N Wilshire Ave
Anaheim, CA 92801-1335

Mailing address

PO Box 3043
Tucson, AZ 85702-3043

Other names 1

  • Amity Foundation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amity Foundation8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1467299263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3043",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857023043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N WILSHIRE AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011335",
            "telephone_number": "323-387-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIDAURUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "MELLIZO",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "CHIEF DEVELOPMENT OFFICER",
        "authorized_official_telephone_number": "970-889-2351"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amity Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.