NPIMap

Organization Active NPI

Goodwill Industries of Orange County, California

Doing business as Assistive Technology Exchange Center (ATEC)

  • Speech-Language Pathologist
  • Santa Ana, CA
National Provider Identifier
1922270305
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP4388 Issued in CA
Legal business name
GOODWILL INDUSTRIES OF ORANGE COUNTY, CALIFORNIA
Doing business as
Assistive Technology Exchange Center (ATEC)
Practice address
1601 E Saint Andrew PL
Santa Ana, CA 92705-4932
Phone
(714) 361-6200
Fax
(714) 361-6220
NPI assigned
Mar 26, 2008
Last updated
Jun 27, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
GOODWILL INDUSTRIES OF ORANGE COUNTY, CALIFORNIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Mr. Frank Talarico
Title
President & Ceo
Phone
(714) 547-6301

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT7512 CA
Speech-Language Pathologist 235Z00000X SP4388 CA Primary
Speech-Language Pathologist 235Z00000X SP18100 CA

Addresses

Primary practice location

1601 E Saint Andrew PL
Santa Ana, CA 92705-4932

Mailing address

1601 E Saint Andrew PL
Santa Ana, CA 92705-4932
Phone (714) 361-6200

Other names 1

  • Assistive Technology Exchange Center (ATEC) Doing business as

National Provider Directory

National Provider Directory
Part of
Goodwill Fitness Center Or

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1922270305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E SAINT ANDREW PL",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054932",
            "telephone_number": "714-361-6200",
            "fax_number": "714-361-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E SAINT ANDREW PL",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054932",
            "telephone_number": "714-361-6200",
            "fax_number": "714-361-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF ORANGE COUNTY, CALIFORNIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOODWILL INDUSTRIES OF ORANGE COUNTY, CALIFORNIA",
        "enumeration_date": "2008-03-26",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "TALARICO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "714-547-6301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT7512",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP4388",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP18100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assistive Technology Exchange Center (ATEC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.