NPIMap

Organization Active NPI

Social Collaborative LLC

  • Early Intervention Provider Agency
  • Tustin, CA
National Provider Identifier
1679085336
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
SOCIAL COLLABORATIVE LLC
Practice address
333 El Camino Real Ste 200
Tustin, CA 92780-3605
Phone
(415) 646-6223
NPI assigned
Nov 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Hsing an Daisy Wang, BCBANPI 1023369261
Title
Owner
Phone
(415) 646-6223

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

333 El Camino Real Ste 200
Tustin, CA 92780-3605

Mailing address

2441 E 3Rd St
Long Beach, CA 90814-2205

National Provider Directory

National Provider Directory

Locations

333 El Camino Real
Ste 200
Tustin, CA 92780
Phone (415) 646-6223

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1679085336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 E 3RD ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908142205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 EL CAMINO REAL STE 200",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803605",
            "telephone_number": "415-646-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL COLLABORATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "HSING AN",
        "authorized_official_middle_name": "DAISY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-646-6223",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.