NPIMap

Organization Active NPI

Orange County Health Care Agency

  • Clinical Social Worker
  • Santa Ana, CA
National Provider Identifier
1659482859
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21177 Issued in CA
Legal business name
ORANGE COUNTY HEALTH CARE AGENCY
Practice address
405 W 5TH St
Ste. 212
Santa Ana, CA 92701-4519
Phone
(714) 480-6660
NPI assigned
Aug 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Robin Rae Fontaine, LCSW
Title
Licenced Clinical Social Worker II
Phone
(714) 480-6660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 21177 CA Primary

Addresses

Primary practice location

405 W 5TH St
Ste. 212
Santa Ana, CA 92701-4519

Mailing address

405 W 5TH St
Ste. 212
Santa Ana, CA 92701-4519
Phone (714) 480-6660

Other identifiers 1

IdentifierTypeStateIssuer
SW21177OtherCASOCIAL WORKER

National Provider Directory

National Provider Directory
Tax ID family
Department of Navy National Naval Medical Center107 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659482859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W 5TH ST",
            "address_2": "STE. 212",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014519",
            "telephone_number": "714-480-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W 5TH ST",
            "address_2": "STE. 212",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014519",
            "telephone_number": "714-480-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY HEALTH CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FONTAINE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "LICENCED CLINICAL SOCIAL WORKER II",
        "authorized_official_telephone_number": "714-480-6660",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "21177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER",
            "identifier": "SW21177",
            "state": "CA"
        }
    ],
    "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 22, 2020; 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.