NPIMap

Organization Active NPI

County of Orange

  • State or Local Public Health Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1699812099
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
COUNTY OF ORANGE
Doing business as
HCA-PHS-Family Health Clinic-17th
Practice address
1725 W 17TH St
Suite 136K
Santa Ana, CA 92706-2316
Phone
(714) 567-6211
Fax
(714) 834-8361
NPI assigned
Feb 1, 2007
Organization subpart
Yes
Parent organization
COUNTY OF ORANGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Authorized official

Name
Dr. CHI Y Rajalingam, PH.D., CHC
Title
Chief Compliance Officer
Phone
(714) 834-3154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

1725 W 17TH St
Suite 136K
Santa Ana, CA 92706-2316

Mailing address

405 W 5TH St Ste 212
Santa Ana, CA 92701-4522
Phone (714) 568-5614

Other identifiers 1

IdentifierTypeStateIssuer
ZZT11732FMedicaidCA

Other names 1

  • HCA-PHS-Family Health Clinic-17th Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Human Services Agency42 organizations share this tax ID, including this one
Part of
Human Services Agency

Other organizations with this tax ID 41

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

View all 41

Locations

1725 W 17th St
Ste 136K
Santa Ana, CA 92706
Phone (714) 567-6211

1729 W 17th St
Santa Ana, CA 92706
Phone (714) 834-8385

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1699812099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W 5TH ST STE 212",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014522",
            "telephone_number": "714-568-5614",
            "fax_number": "714-834-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W 17TH ST",
            "address_2": "SUITE 136K",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062316",
            "telephone_number": "714-567-6211",
            "fax_number": "714-834-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ORANGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF ORANGE",
        "enumeration_date": "2007-02-01",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "RAJALINGAM",
        "authorized_official_first_name": "CHI",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "714-834-3154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., CHC"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT11732F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HCA-PHS-Family Health Clinic-17th",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HCA-PHS-Family Health Clinic-17th",
            "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 Dec 20, 2019; 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.