NPIMap

Organization Active NPI

University of California Irvine

Doing business as UCI Health - Placentia Linda

  • General Acute Care Hospital
  • Placentia, CA
National Provider Identifier
1700817756
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
060000157 Issued in CA
Legal business name
UNIVERSITY OF CALIFORNIA IRVINE
Doing business as
UCI Health - Placentia Linda
Practice address
1301 N Rose Dr
Placentia, CA 92870-3802
Phone
(714) 993-2000
NPI assigned
Jul 6, 2006
Last updated
May 9, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF CALIFORNIA IRVIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Randolph Perseverance Siwabessy
Title
Vice President and Chief Financial
Phone
(714) 456-5180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 060000157 CA Primary

Addresses

Primary practice location

1301 N Rose Dr
Placentia, CA 92870-3802

Mailing address

1500 S Douglass Rd
Suite 200, RT 183
Anaheim, CA 92806-6911
Phone (714) 456-6245

Other identifiers 9

IdentifierTypeStateIssuer
000431OtherHUMANA
050589B000000OtherSECTION 1011
752918773928700000OtherTRICARE
8276OtherHEALTH NET
908905630OtherAETNA US HEALTHCARE (NATI
HSC30589IMedicaidCA
ZZZD3009ZOtherBS OF CALIFORNIA
001295-0001OtherPACIFICARE OF CALIFORNIA
HSP40589IMedicaidCA

Other names 1

  • UCI Health - Placentia Linda Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PLA@Direct.Hub2.TenetHealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700817756. Details of each certification follow.

Hospital certification: CCN 050589

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
UCI HEALTH-PLACENTIA LINDA
Certification status
Terminated Voluntary: merger or closure, Apr 1, 2025
Provider type (POS)
Hospital – Short-term
Participating since
Sep 27, 1972
Last certification
Nov 24, 2020
Beds
114
Ownership / control type
Private (for profit)
Most recent change of ownership
Mar 27, 2024 (3 total)
Facility address
1301 N Rose Drive
Placentia, CA 92870

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0666543Uci Health - Placentia Linda1301 N Rose Dr, Placentia, CA 92870AccreditationJan 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Uci Student Health Center Pharmacy42 organizations share this tax ID, including this one
Part of
Uci Student Health Center Pharmacy

Other organizations with this tax ID 41

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

View all 41

Locations

File 57507
Los Angeles, CA 90074

1325 N Rose Dr
Ste 101
Placentia, CA 92870
Phone (714) 524-4800

Interoperability endpoints

  • Direct secure messaging: pla@direct.hub2.tenethealth.com

Practitioners & affiliated clinicians

Practitioners 190

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.

View all 190

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1700817756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DOUGLASS RD",
            "address_2": "SUITE 200, RT 183",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928066911",
            "telephone_number": "714-456-6245",
            "fax_number": "714-456-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N ROSE DR",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703802",
            "telephone_number": "714-993-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CALIFORNIA IRVINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF CALIFORNIA IRVI",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-05-09",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "SIWABESSY",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "PERSEVERANCE",
        "authorized_official_title_or_position": "VICE PRESIDENT AND CHIEF FINANCIAL",
        "authorized_official_telephone_number": "714-456-5180"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "060000157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "000431",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECTION 1011",
            "identifier": "050589B000000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "752918773928700000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "8276",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE (NATI",
            "identifier": "908905630",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30589I",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF CALIFORNIA",
            "identifier": "ZZZD3009Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE OF CALIFORNIA",
            "identifier": "001295-0001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40589I",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PLA@Direct.Hub2.TenetHealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1301 N Rose Dr",
            "city": "Placentia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928703802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "UCI Health - Placentia Linda",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Placentia, CA

Sources for this page

Verify at the official NPI Registry.