NPIMap

Organization Active NPI

St. Joseph Hospital of Orange

  • Migrant Health Clinic/Center
  • Orange, CA
National Provider Identifier
1790994259
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Migrant Health Clinic/CenterTaxonomy code 261QM1000X
Legal business name
ST. JOSEPH HOSPITAL OF ORANGE
Practice address
363 S Main St
Suite 204
Orange, CA 92868-3833
Phone
(714) 744-8801
Fax
(714) 744-8629
NPI assigned
May 22, 2007
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
Mr. Alan H Garrett
Title
Chief Operating Officer
Phone
(714) 771-8000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Migrant Health Clinic/Center 261QM1000X CA Primary
Migrant Health Clinic/Center 261QM1000X CA
Migrant Health Clinic/Center 261QM1000X CA
Migrant Health Clinic/Center 261QM1000X CA

Addresses

Primary practice location

363 S Main St
Suite 204
Orange, CA 92868-3833

Mailing address

363 S Main St
Suite 204
Orange, CA 92868-3833
Phone (714) 744-8801

Other identifiers 3

IdentifierTypeStateIssuer
G93665-02OtherCADENTICAL
CMM7079OFOtherCAMEDI-CAL
EAP70367FOtherCA(EAPC)

Other names 1

  • Puente A La Salud Mobile Clinics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Joseph Hospital of Orange7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

363 S Main St
Ste 204
Orange, CA 92868
Phone (714) 744-8801

Practitioners & affiliated clinicians

Practitioners 3

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790994259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 S MAIN ST",
            "address_2": "SUITE 204",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683833",
            "telephone_number": "714-744-8801",
            "fax_number": "714-744-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 S MAIN ST",
            "address_2": "SUITE 204",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683833",
            "telephone_number": "714-744-8801",
            "fax_number": "714-744-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH HOSPITAL OF ORANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "714-771-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G93665-02",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "CMM7079OF",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "(EAPC)",
            "identifier": "EAP70367F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puente A La Salud Mobile Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, 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.