NPIMap

Organization Active NPI

County of Orange

Doing business as HCA-PHS-CCS-MTU-Woodcrest

  • Physical Therapy Clinic/Center
  • Fullerton, CA
National Provider Identifier
1881731289
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
COUNTY OF ORANGE
Doing business as
HCA-PHS-CCS-MTU-Woodcrest
Practice address
455 W Baker Ave
Fullerton, CA 92832-3269
Phone
(714) 992-4292
NPI assigned
Feb 1, 2007
Last updated
Jan 8, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF ORANGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Dr. CHI Y Rajalingam, PH.D., CHC
Title
Chief Compliance Officer
Phone
(714) 834-3154

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X NU

Addresses

Primary practice location

455 W Baker Ave
Fullerton, CA 92832-3269

Mailing address

405 W 5TH St Ste 212
Santa Ana, CA 92701-4522
Phone (714) 568-5614

Other identifiers 1

IdentifierTypeStateIssuer
CCS00055FMedicaidCA

Other names 1

  • HCA-PHS-CCS-MTU-Woodcrest Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of Orange42 organizations share this tax ID, including this one
Part of
County of Orange

Other organizations with this tax ID 41

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

View all 41

Locations

455 W Baker Ave
Fullerton, CA 92832
Phone (714) 447-7760

Practitioners & affiliated clinicians

Practitioners 5

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1881731289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W 5TH ST STE 212",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014522",
            "telephone_number": "714-568-5614",
            "fax_number": "714-834-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 W BAKER AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928323269",
            "telephone_number": "714-992-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ORANGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF ORANGE",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "RAJALINGAM",
        "authorized_official_first_name": "CHI",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "714-834-3154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., CHC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CCS00055F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HCA-PHS-CCS-MTU-Woodcrest",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HCA-PHS-CCS-MTU-Woodcrest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.