NPIMap

Organization Active NPI

Families Together of Orange County

  • Federally Qualified Health Center (FQHC)
  • Tustin, CA
National Provider Identifier
1861253080
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FAMILIES TOGETHER OF ORANGE COUNTY
Practice address
621 W 1St St
Tustin, CA 92780-2950
Phone
(714) 665-9890
Fax
(714) 665-9891
NPI assigned
Jan 16, 2024
Last updated
Jan 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Alexander Rossel
Title
Ceo
Phone
(714) 665-9890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

621 W 1St St
Tustin, CA 92780-2950

Mailing address

661 W 1St St Ste G
Tustin, CA 92780-2939
Phone (714) 665-9890

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251106003174 CA Part A Provider - Federally Qualified Health Center (FQHC) 7517268816 Practice locations: Tustin, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861253080. Details of each certification follow.

Federally qualified health center certification: CCN A11007

Legal name
FAMILIES TOGETHER OF ORANGE COUNTY
Doing business as
FAMILIES TOGETHER OF ORANGE COUNTY-WELLNESS CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 3, 2025
Last certification
Nov 3, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
621 W 1St St
Tustin, CA 92780-2950

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Families Together of Orange County8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

621 W 1st St
Tustin, CA 92780
Phone (714) 665-9890

661 W 1st St
Ste G2
Tustin, CA 92780
Phone (714) 368-7574

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nathaniel Baek Individual Corporate DirectorBoard Member Aug 1, 2018
Alexander R Rossel Individual Corporate OfficerCeo Jan 1, 2015 50%
W-2 Managing EmployeeCeo Jan 1, 2015 50%
Operational/Managerial ControlCeo Jan 1, 2015 50%
Priscilla Baek Individual Corporate DirectorBoard Member Feb 1, 2023
Xiao Min Xiong Individual Corporate DirectorBoard Member Jan 1, 2022
Abigail Kwon Individual Corporate DirectorBoard Member Jan 1, 2024
Nayeli Moreno-Sanchez Individual Corporate DirectorHonorary Board Member Feb 1, 2015
Karen Lee Individual Corporate DirectorBoard Chair Oct 1, 2016
Paul Ramos Individual Corporate OfficerCfo Aug 1, 2025 50%
W-2 Managing EmployeeCfo Aug 1, 2025 50%
Operational/Managerial Control Aug 1, 2025 50%
Araceli Cazales Individual Corporate DirectorHonorary Board Member Jan 1, 2017
Alice Maldonado Individual Corporate DirectorBoard Member Dec 1, 2017
Joshua Kwon Individual Corporate DirectorBoard Member May 1, 2020
Marcos Roman Individual Corporate DirectorBoard Member Jan 1, 2022
Monica Guardado Individual Corporate DirectorSecretary Jan 1, 2023

Practitioners & affiliated clinicians

Practitioners 98

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 98

NPI Registry JSON

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1861253080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 W 1ST ST STE G",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802939",
            "telephone_number": "714-665-9890",
            "fax_number": "714-665-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W 1ST ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802950",
            "telephone_number": "714-665-9890",
            "fax_number": "714-665-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILIES TOGETHER OF ORANGE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "ROSSEL",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-665-9890"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.