Organization Active NPI

Order of Malta Clinic of Orange Inc.

  • General Practice Physician
  • Santa Ana, CA
National Provider Identifier
1518882539
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ORDER OF MALTA CLINIC OF ORANGE INC.
Practice address
2424 N Grand Ave Ste C
Santa Ana, CA 92705-8758
Phone
(714) 831-1541
Fax
(714) 592-0736
NPI assigned
Aug 10, 2026
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Richard Kozak, MDNPI 1457380107
Title
Medical Director
Phone
(949) 309-8434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

2424 N Grand Ave Ste C
Santa Ana, CA 92705-8758

Mailing address

21271 Calle Horizonte
Lake Forest, CA 92630-2145
Phone (949) 309-8434

National Provider Directory

National Provider Directory

Locations

2424 N Grand Ave
Ste C
Santa Ana, CA 92705

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1518882539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21271 CALLE HORIZONTE",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302145",
            "telephone_number": "949-309-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 N GRAND AVE STE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058758",
            "telephone_number": "714-831-1541",
            "fax_number": "714-592-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORDER OF MALTA CLINIC OF ORANGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "KOZAK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-309-8434",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.