NPIMap

Organization Active NPI

Individual

  • Community/Behavioral Health Agency
  • Garden Grove, CA
National Provider Identifier
1881019123
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INDIVIDUAL
Practice address
12966 Euclid St
Suite 280
Garden Grove, CA 92840-5200
Phone
(714) 823-4770
Fax
(714) 823-4777
NPI assigned
Feb 24, 2014
Last updated
Feb 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Authorized official

Name
Miss Mabel Vasquez
Title
Intern
Phone
(626) 428-6916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

12966 Euclid St
Suite 280
Garden Grove, CA 92840-5200

Mailing address

12966 Euclid St
Suite 280
Garden Grove, CA 92840-5200
Phone (714) 823-4770

Other names 1

  • individual Other name

National Provider Directory

National Provider Directory
Tax ID family
Cape Cod Anesthesia Associates456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1881019123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12966 EUCLID ST",
            "address_2": "SUITE 280",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405200",
            "telephone_number": "714-823-4770",
            "fax_number": "714-823-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12966 EUCLID ST",
            "address_2": "SUITE 280",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405200",
            "telephone_number": "714-823-4770",
            "fax_number": "714-823-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "MABEL",
        "authorized_official_title_or_position": "INTERN",
        "authorized_official_telephone_number": "626-428-6916",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "individual",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.