NPIMap

Organization Active NPI

South Coast Children's Society, Inc

  • Community/Behavioral Health Agency
  • Fountain Valley, CA
National Provider Identifier
1487780219
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1707237 Issued in CA
Legal business name
SOUTH COAST CHILDREN'S SOCIETY, INC
Practice address
18837 Brookhurst St Ste 110&104
Fountain Valley, CA 92708-7301
Phone
(714) 536-0077
Fax
(714) 536-0071
NPI assigned
Feb 26, 2007
Last updated
Aug 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Ellen McGuirk
Title
C.E.O.
Phone
(949) 244-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1707237 CA Primary

Addresses

Primary practice location

18837 Brookhurst St Ste 110&104
Fountain Valley, CA 92708-7301

Mailing address

25910 Acero Ste 160
Mission Viejo, CA 92691-2777
Phone (909) 980-6700

Other names 1

  • CYS South Coast Children's Society Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100629000241 CA Part B Supplier - Clinic/Group Practice 7315078789 Receives reassigned benefits from 3 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chino, CA; Colton, CA; Costa Mesa, CA; Mission Viejo, CA; Rancho Cucamonga, CA; Redlands, CA; Upland, CA; Yucaipa, CA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
South Coast Traverse25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Locations

18837 Brookhurst St
Ste 110104
Fountain Valley, CA 92708
Phone (714) 536-0077

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1487780219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25910 ACERO STE 160",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912777",
            "telephone_number": "909-980-6700",
            "fax_number": "714-536-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18837 BROOKHURST ST STE 110&104",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087301",
            "telephone_number": "714-536-0077",
            "fax_number": "714-536-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST CHILDREN'S SOCIETY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "MCGUIRK",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "949-244-5757"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "1707237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CYS South Coast Children's Society",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CYS South Coast Children's Society",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.