Orange Coast Memorial Medical Center
Organization Active NPI General Acute Care Hospital · Fountain Valley, CA
NPI 1497702575 · NPPES record last updated Apr 8, 2025
Key facts
- NPI
- 1497702575
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 060000066 (CA)
- Legal business name
- ORANGE COAST MEMORIAL MEDICAL CENTER
- Practice address
- 9920 Talbert Ave
Fountain Valley, CA 92708-5153 - Phone
- (714) 378-7000
- Fax
- (714) 378-7474
- NPI assigned
- May 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Steve McNamara
- Title
- Chief Financial Officer
- Phone
- (714) 378-7414
Owners & managing parties with NPI records 3
-
Julio Alberto Ibarra, M.D.
-
David S Kim, MD
-
Frank J Marino, MD
Facilities with the same owner 4
Practitioners 770
-
Lisa N Abaid, M.D., M.P.H.
-
Amir Abolhoda, MD
-
Alaa Abousaif, MD
-
Amable R Aguiluz Jr., M.D.
-
Jacob K Ahdoot, MD
-
Morris M Ahdoot, MD
-
Robert C Ahearn, MD
-
Nader A. Ahmad, M.D.
-
Zavier Shawkat Ahmed, M.D.
-
Sang Hoon Ahn, M.D.
-
Hind Al-Azawi, MD
-
Shlomi Albert, M.D.
-
Mir Basharat Ali, M.D.
-
Raed Ali, MD
-
Afdal Ibrahim Allam, M.D.
-
Shamili Allam, MD
-
Kais I Alsharif, MD
-
Ellen G. Amador, D.O.
-
Dena Amr, MD
-
Jeff Angarola, DPM
Affiliated clinicians 606
-
Robert C Ahearn, MD
-
Zavier Shawkat Ahmed, M.D.
-
Ali Ahoui, MD
-
Rena Ahuja, M.D.
-
Bassil Aish, MD
-
Ronnie Alas, M.D.
-
Shlomi Albert, M.D.
-
Mir Baquar Ali, MD
-
Subha Laxmi Amatya, M.D.
-
Eduardo Amezcua, MD
-
Dena Amr, MD
-
Evelina Appleby, MD
-
Jose Luis Aranez, M.D.
-
Erick Argueta, MD
-
Stanley W Arnold, MD
-
Lokesh Arora, M.D.
-
Parvataneni Arun, M.D.
-
Magdalena M Austin, FNP-C
-
Arfa Babaknia, M.D.
-
Jyoti Manohar Bakhru, M.D.
-
Bart Alden Barrett, M.D.
Medicare Care Compare: Hospital
- Listed as
- Memorialcare Orange Coast Medical Center
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0669704 | Orange Coast Memorial Medical Center | Accreditation | Feb 27, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Hospital certification: CCN 050678
- Legal name
- ORANGE COAST MEMORIAL MEDICAL CENTER
- Doing business as
- MEMORIALCARE ORANGE COAST MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Aug 13, 1986
- Last certification
- Sep 13, 2010
- Beds
- 210
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Jan 14, 1996 (1 total)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Dec 26, 1995 in CA
- Enrollment address
- 9920 Talbert Ave
Fountain Valley, CA 92708-5153 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Theresa Evans |
Corporate Director |
Jul 1, 2013 | |
| Dale Vital |
Corporate Director |
Jul 1, 2021 | |
| Thomas Rogers |
Corporate Director |
Jul 1, 2016 | |
| Tam Nguyen |
Corporate Director |
Jul 1, 2022 | |
| David Wolf |
Corporate Director |
Jul 1, 2019 | |
| Sharon Cheever |
Corporate Director |
Jul 1, 2016 | |
| Memorial Health Services |
5% Or Greater Direct Ownership Interest | Jan 14, 1996 | 100% |
| Julio a Ibarra |
Corporate Director | Nov 9, 2009 | |
| Eugene D Elliott |
Corporate Director |
Jul 1, 2026 | |
| Emily Randle |
Corporate Officer |
Jul 1, 2010 | |
| Frank J Marino |
Corporate Director |
Jul 1, 2022 | |
| Michael D Moneta |
Corporate Director |
Jul 1, 2021 | |
| David S Kim |
Corporate Officer |
Jul 1, 2026 | |
| Chris Finch |
Corporate Officer |
Nov 9, 2009 | |
| Aaron Coley |
Corporate Officer |
Aug 1, 2016 | |
| W-2 Managing Employee | Aug 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100211000241 | CA | Part a Provider - Hospital | 9436298445 | Practice locations: Newport Beach, CA; Laguna Hills, CA; Fountain Valley, CA; Huntington Beach, CA |
National Provider Directory
Locations (25 of 61)
1019 W La Palma Ave
Anaheim, CA 92801
Phone (714) 441-0411
831 Highland Springs Ave
Ste 300
Beaumont, CA 92223
Phone (951) 769-0079
8500 Wilshire Blvd
Ste 1018
Beverly Hills, CA 90211
Phone (310) 289-1989
255 W Central Ave
Ste 203
Brea, CA 92821
Phone (714) 582-2530
1503 S Coast Dr
Costa Mesa, CA 92626
Phone (714) 424-9955
803 E Rosecrans Ave
East Rancho Dominguez, CA 90221
Phone (310) 605-4800
16055 Brookhurst St
Ste C
Fountain Valley, CA 92708
Phone (714) 839-2400
18111 Brookhurst St
Ste 1400
Fountain Valley, CA 92708
Phone (714) 378-7000
9900 Talbert Ave
#101
Fountain Valley, CA 92708
Phone (714) 241-0646
18111 Brookhurst St
Ste LL300
Fountain Valley, CA 92708
Phone (714) 962-7100
18111 Brookhurst St
Ste 4300B
Fountain Valley, CA 92708
Phone (714) 378-7000
18111 Brookhurst St
Ste 2400
Fountain Valley, CA 92708
Phone (714) 378-7000
18111 Brookhurst St
Ste 5200
Fountain Vly, CA 92708
Phone (714) 962-7705
11100 Warner Ave
Fountain Vly, CA 92708
Phone (714) 434-4990
18111 Brookhurst St
Ste 2600
Fountain Vly, CA 92708
Phone (714) 200-1010
11180 Warner Ave
Ste 351
Fountain Vly, CA 92708
Phone (714) 210-2300
18111 Brookhurst St
Ste 6300
Fountain Vly, CA 92708
Phone (714) 847-6727
18111 Brookhurst St
Ste 6400
Fountain Vly, CA 92708
Phone (714) 350-7258
12665 Garden Grove Blvd
Ste 502
Garden Grove, CA 92843
Phone (714) 534-3900
12462 Brookhurst St
Ste Ab
Garden Grove, CA 92840
Phone (714) 636-9850
11922 Seacrest Dr
Ste A
Garden Grove, CA 92840
Phone (714) 636-9100
12751 Harbor Blvd
Garden Grove, CA 92840
Phone (714) 636-7330
13872 Harbor Blvd
Ste 1C
Garden Grove, CA 92843
Phone (714) 531-5201
1286 N Irwin St
Hanford, CA 93230
Phone (559) 584-7200
18800 Delaware St
Ste 850
Huntington Beach, CA 92648
Phone (714) 596-2800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 060000066 | CA | Yes |
Addresses
Primary practice location
9920 Talbert Ave
Fountain Valley, CA 92708-5153
Mailing address
9920 Talbert Ave
Fountain Valley, CA 92708-5153
Phone (714) 378-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSP30678G | Medicaid | CA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://52.70.132.174:8191/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | MedForce Solutions, LLC. |
| CONNECT URL | https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark |
Other providers in Fountain Valley, CA
- Optimum Care Network Inc.
- Opus Hospice, Inc
- Orange Coast Eye Center Inc
- Orange Coast Medical, a Medical Corporation
- Orange Coast Memorial Medical Center
- Orange Coast Psychological Associates, P.C.
- Orange Coast Radiation Oncology Medical Group
- Orange County Cardio Center, Inc
- Orange County Caregivers, Inc.
- Orange County Diagnostic Radiology, Inc.
All providers in Fountain Valley, CA · General Acute Care Hospital in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.