NPIMap

Organization Active NPI

Jennys Wig Center

  • Prosthetics Case Management
  • Orange, CA
National Provider Identifier
1619737236
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
JENNYS WIG CENTER
Practice address
384 S Tustin St
Orange, CA 92866-2502
Phone
(714) 771-3883
NPI assigned
Mar 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Brissa Garcia-RuddyNPI 1679343099
Title
Owner
Phone
(714) 771-3883

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
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X Primary

Addresses

Primary practice location

384 S Tustin St
Orange, CA 92866-2502

Mailing address

384 S Tustin St
Orange, CA 92866-2502
Phone (714) 771-3883

National Provider Directory

National Provider Directory

Locations

384 S Tustin St
Orange, CA 92866
Phone (714) 771-3883

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": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1619737236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 S TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662502",
            "telephone_number": "714-771-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 S TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662502",
            "telephone_number": "714-771-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNYS WIG CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "GARCIA-RUDDY",
        "authorized_official_first_name": "BRISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-771-3883"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.