Organization Active NPI

Integrated Injury Specialists

  • Case Manager/Care Coordinator
  • Placentia, CA
National Provider Identifier
1467963751
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
INTEGRATED INJURY SPECIALISTS
Practice address
1041 E Yorba Linda Blvd Ste 210
Placentia, CA 92870-3763
Phone
(949) 424-3763
Fax
(951) 461-7074
NPI assigned
Oct 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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

Authorized official

Name
Denise Balkcom
Title
Administrator
Phone
(888) 268-8607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

1041 E Yorba Linda Blvd Ste 210
Placentia, CA 92870-3763

Mailing address

PO Box 61326
Irvine, CA 92602-6044
Phone (949) 424-5840

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1467963751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61326",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926026044",
            "telephone_number": "949-424-5840",
            "fax_number": "951-461-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 E YORBA LINDA BLVD STE 210",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703763",
            "telephone_number": "949-424-3763",
            "fax_number": "951-461-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED INJURY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "BALKCOM",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "888-268-8607"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.