NPIMap

Organization Active NPI

Reimagine Network

  • Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1679635569
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
I24111L Issued in CA
Legal business name
REIMAGINE NETWORK
Practice address
1601 E Saint Andrew PL
Santa Ana, CA 92705-4940
Phone
(714) 633-7400
Fax
(714) 633-0738
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Authorized official

Name
Mrs. Sofia Celestina Martinez, LCSW
Title
Chief of Programs & Services
Phone
(714) 680-6060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X I24111L CA Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Addresses

Primary practice location

1601 E Saint Andrew PL
Santa Ana, CA 92705-4940

Mailing address

1601 E Saint Andrew PL
Santa Ana, CA 92705-4940
Phone (714) 633-7400

Other names 1

  • Reimagine Network Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1679635569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E SAINT ANDREW PL",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054940",
            "telephone_number": "714-633-7400",
            "fax_number": "714-633-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E SAINT ANDREW PL",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054940",
            "telephone_number": "714-633-7400",
            "fax_number": "714-633-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIMAGINE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_middle_name": "CELESTINA",
        "authorized_official_title_or_position": "CHIEF OF PROGRAMS & SERVICES",
        "authorized_official_telephone_number": "714-680-6060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "I24111L",
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reimagine Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 24, 2021; 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.