Organization Active NPI

Abstract to Clarity Inc

  • Psychiatry Physician
  • Orange, CA
National Provider Identifier
1841070356
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ABSTRACT TO CLARITY INC
Practice address
3744 E Chapman Ave Unit 2145
Orange, CA 92859-8506
Phone
(888) 317-1008
Fax
(888) 317-1473
NPI assigned
Oct 2, 2023
Last updated
Oct 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Hazelina Belladora
Title
Ceo
Phone
(888) 317-1008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

3744 E Chapman Ave Unit 2145
Orange, CA 92859-8506

Mailing address

3744 E Chapman Ave Unit 2145
Orange, CA 92859-8506
Phone (888) 317-1008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231113002611 CA Part B Supplier - Clinic/Group Practice 9234586207 Receives reassigned benefits from 1 practitioner
Practice locations: Costa Mesa, CA

National Provider Directory

National Provider Directory

Locations

3744 E Chapman Ave
Unit 2145
Orange, CA 92859
Phone (888) 317-1008

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1841070356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3744 E CHAPMAN AVE UNIT 2145",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928598506",
            "telephone_number": "888-317-1008",
            "fax_number": "888-317-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3744 E CHAPMAN AVE UNIT 2145",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928598506",
            "telephone_number": "888-317-1008",
            "fax_number": "888-317-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSTRACT TO CLARITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "BELLADORA",
        "authorized_official_first_name": "HAZELINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-317-1008"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.