Organization Active NPI

Placentia Yorba Linda Unified School District

  • Primary Care Clinic/Center
  • Fullerton, CA
National Provider Identifier
1467546275
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
255249 Issued in CA
Legal business name
PLACENTIA YORBA LINDA UNIFIED SCHOOL DISTRICT
Practice address
3232 Topaz LN
Fullerton, CA 92831-2609
Phone
(714) 579-1548
Fax
(714) 528-7963
NPI assigned
Oct 3, 2006
Organization subpart
Yes
Parent organization
PLACENTIA YORBA LINDA UNIFIED SCHOOL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Mrs. Joan Akers, M.A.
Title
Director, S.E.L.P.a.
Phone
(714) 985-8659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 255249 CA Primary

Addresses

Primary practice location

3232 Topaz LN
Fullerton, CA 92831-2609

Mailing address

3232 Topaz LN
Fullerton, CA 92831-2609
Phone (714) 579-1548

Other identifiers 2

IdentifierTypeStateIssuer
SS 3066647MedicaidCA
CH02068MedicaidCA

Other names 1

  • Child Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Placentia Yorba Linda Unified School District2 organizations share this tax ID, including this one
Part of
Placentia Yorba Linda Unified School District

Other organizations with this tax ID 1

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

Locations

3232 Topaz Ln
Fullerton, CA 92831
Phone (714) 446-5758

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1467546275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 TOPAZ LN",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928312609",
            "telephone_number": "714-579-1548",
            "fax_number": "714-528-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 TOPAZ LN",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928312609",
            "telephone_number": "714-579-1548",
            "fax_number": "714-528-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLACENTIA YORBA LINDA UNIFIED SCHOOL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLACENTIA YORBA LINDA UNIFIED SCHOOL DISTRICT",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "AKERS",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "DIRECTOR, S.E.L.P.A.",
        "authorized_official_telephone_number": "714-985-8659",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "255249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS 3066647",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH02068",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Child Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.