Active NPI
Fresenius Medical Care Orange County, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fullerton, CA
National Provider Identifier
1962867663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- FRESENIUS MEDICAL CARE ORANGE COUNTY, LLC
- Practice address
- 1401 S Brookhurst Rd Ste 108-109
Fullerton, CA 92833-4471 - Phone
- (714) 773-1407
- Fax
- (714) 773-1408
- NPI assigned
- Dec 22, 2015
- Organization subpart
- Yes
- Parent organization
- FRESENIUS MEDICAL CARE HOLDINGS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barry L. Blanton
- Title
- Vice President
- Phone
- (781) 699-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | CA | Primary |
Addresses
Primary practice location
1401 S Brookhurst Rd Ste 108-109
Fullerton, CA 92833-4471
Mailing address
1401 S Brookhurst Rd Ste 108-109
Fullerton, CA 92833-4471
Phone (714) 773-1407
Other names 1
- FRESENIUS MEDICAL CARE ORANGE COUNTY HOME
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
National Provider Directory
National Provider DirectoryMember of 4
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fontana, CA
- NPI 1902387533
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Fernando, CA
- NPI 1730479072
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bristol, TN
- NPI 1477570117
Member Of
Locations
1401 S Brookhurst Rd
Fullerton, CA 92833
Phone (714) 773-1407
1401 S Brookhurst Rd
Ste 108109
Fullerton, CA 92833
Phone (714) 773-1407
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Tustin, CA
- NPI 1417948894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697587200000",
"number": "1962867663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S BROOKHURST RD STE 108-109",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928334471",
"telephone_number": "714-773-1407",
"fax_number": "714-773-1408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S BROOKHURST RD STE 108-109",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928334471",
"telephone_number": "714-773-1407",
"fax_number": "714-773-1408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRESENIUS MEDICAL CARE ORANGE COUNTY, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
"enumeration_date": "2015-12-22",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A",
"authorized_official_last_name": "BLANTON",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "781-699-9000"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "FRESENIUS MEDICAL CARE ORANGE COUNTY HOME",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "FRESENIUS MEDICAL CARE ORANGE COUNTY HOME",
"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 Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.