The

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A064054 Issued in CA

Legal business name

THE

Practice address

1215 W Imperial Hwy Ste 101
Brea, CA 92821-3738

Phone

(714) 680-8335

Fax

(714) 680-8314

NPI assigned

Dec 3, 2015

Last updated

Dec 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tracy Robinson, M.D.

Title

Chief Medical Officer

Phone

(323) 730-1920

Specialties & licenses 1

Addresses

Tax ID family

The4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• T.H.E. Clinic, Inc.

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1568507978
  NPD tax ID
• T.H.E. Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1609251735
  NPD tax ID
• T.H.E. Clinic, Inc.

  dba T.H.E. Clinic Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1730035015
  NPD tax ID

Locations

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.

• Naureen Tareen, M.D.

  • Internal Medicine Physician
  • Fullerton, CA
  • NPI 1699952820
  NPD (past)

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1639544505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 W LAS PALMAS DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928351439",
            "telephone_number": "714-403-9942",
            "fax_number": "714-680-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W IMPERIAL HWY STE 101",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213738",
            "telephone_number": "714-680-8335",
            "fax_number": "714-680-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "323-730-1920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A064054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen W. Thacker, D.O.
• Khyati Kunal Thakkar, DDS
• THC - Orange County LLC (Kindred Hospital - Brea)
• THC - Orange County, LLC (Kindred Hospital - Brea)
• THC - Orange County, LLC
• The Bridge Marriage & Family Therapy
• The Fast Urgent Care Inc.
• The Functional Aprn Medical Corporation (The Functional APRN)
• The Rivers Journey: Individual and Family Counseling and Wellness Serv (The Rivers Journey: Counseling & Wellness Services)
• The-Hao Tran Dental Corporation (Radiant Family Dental)

• Clinic/Center in Brea, CA
• Providers in Brea, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.