COUNTY OF ORANGE (NPI# 1063550929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063550929 |
| Entity Type | Organization |
| Organization Name | COUNTY OF ORANGE |
| Other Organization Name | HCA-PHS-LAB |
| Practice Address |
1729 W 17th St Santa Ana CA 92706-2316 |
| Mailing Address |
405 W 5th St Ste 212 Santa Ana CA 92701-4522 |
| Practice Telephone | 7148348385 |
| Mailing Telephone | 7145685614 |
| Mailing Fax Number | 7148346595 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2019-12-20 |
| Authorized Official Name | DR. CHI Y RAJALINGAM (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 7148343154 |
| Authorized Official Credential | PH.D., CHC |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF ORANGE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ59046Z | 05 |
| Other Name | Type Code |
|---|---|
| HCA-PHS-Lab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649716770 | County of Orange | Clinic/Center | 2200 W Orangewood Ave, Suite 212, Orange, CA 92868-1945 | 2017-01-12 |
| 1114248671 | County of Orange | Clinic/Center | 200 W Santa Ana Blvd Fl 10, Santa Ana, CA 92701-4134 | 2010-06-18 |
| 1720212020 | County of Orange | Clinic/Center | 4771 Campus Dr, Irvine, CA 92612-3201 | 2009-05-14 |
| 1740431436 | County of Orange | Clinic/Center | 1725 W 17th St Ste 101f, Santa Ana, CA 92706-2316 | 2008-10-01 |
| 1336324409 | County of Orange | Clinic/Center | 30 Harriman Dr, Goshen, NY 10924-2410 | 2008-01-08 |
| 1114108982 | County of Orange | Case Management | 200 W Santa Ana Blvd, Ste 800, Santa Ana, CA 92701 | 2007-11-20 |
| 1457574683 | County of Orange | Clinic/Center | 5 Mareblu, Suites 100, 200, and 250, Aliso Viejo, CA 92656-3014 | 2007-04-10 |
| 1346387743 | County of Orange | Clinic/Center | 2801 Bristol St, Costa Mesa, CA 92626-5996 | 2007-02-01 |
| 1881731289 | County of Orange | Clinic/Center | 455 W Baker Ave, Fullerton, CA 92832-3269 | 2007-02-01 |
| 1174660740 | County of Orange | Clinic/Center | 24171 Pavion, Mission Viejo, CA 92692-2200 | 2007-01-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COUNTY OF ORANGE | 333 West Santa Ana Blvd Fl 3, Santa Ana, CA 92701-4017 |
| Vermont Business Registrations | COUNTY OF ORANGE SPECIAL INVESTIGATION & ADVOCACY TEAM INC. | Rr1 Box 30 G, Chelsea, VT 05038 |
| Street Address |
1729 W 17TH ST |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92706-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633120 | Angelica Honor Tan Andres Torres | Spec/Tech, Pathology | 1729 W 17th St, Santa Ana, CA 92706-2316 | 2020-06-15 |
| 1215571922 | Michelle Ruiz | Community Health Worker | 1729 W 17th St, Santa Ana, CA 92706-2316 | 2019-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972448 | Naijwa Lewis | Counselor | 2100 N. Broadway Suite 101, Santa Ana, CA 92706 | 2018-11-28 |
| 1215428230 | Chances Counseling Centers LLC | Psychologist | 2727 N Bristol St, Santa Ana, CA 92706 | 2018-05-24 |
| 1366962854 | Jankee Pandya | Counselor | 2215 N. Broadway, Ste 200, Santa Ana, CA 92706 | 2017-06-26 |
| 1740719178 | Miriam Alejandro Moreno-ortiz | Counselor | 1910 N. Bush St, Santa Ana, CA 92706 | 2017-06-08 |
| 1942617790 | Janice Botzbach | Behavioral Analyst | 1912 N. Broadway Suite 108, Santa Ana, CA 92706 | 2014-07-14 |
| 1841620689 | Orange County Health Care Agency | Clinic/Center | 550 N. Flower Street, Santa Ana, CA 92706 | 2013-11-14 |
| 1740527274 | Jeremy Nishimoto | Counselor | 2100 N. Broadway Ste 101, Santa Ana, CA 92706 | 2013-01-03 |
| 1326392390 | Rosemary Sara Chesters | Marriage & Family Therapist | 921 West Seventeenth Street, Santa Ana, CA 92706 | 2012-10-30 |
| 1790032019 | Jee Hoon Ha | Dentist | 1313 W 17th St Ste B, Santa Ana, CA 92706 | 2012-08-06 |
| 1437404225 | Lisa Steele | Counselor | 1910 N. Bush, Santa Ana, CA 92706 | 2012-07-17 |
| Find all providers in zip 92706 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629695432 | Phlebotomy Direct, LLC | Clinical Medical Laboratory | 401 E Bishop St, Santa Ana, CA 92701-5937 | 2020-06-26 |
| 1902462070 | Clement Johnson | Clinical Medical Laboratory | 725 S Golden West Ave, Santa Ana, CA 92704-2816 | 2019-05-14 |
| 1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
| 1265915029 | Nkmax America, Inc. | Clinical Medical Laboratory | 3001 Daimler St, Santa Ana, CA 92705-5812 | 2018-09-07 |
| 1306381694 | Precision Testing Labs | Clinical Medical Laboratory | 1804 Carnegie Ave, Santa Ana, CA 92705-5503 | 2016-12-22 |
| 1104281021 | Healthquest Laboratories, Inc. | Clinical Medical Laboratory | 1800 Carnegie Ave, Santa Ana, CA 92705-5503 | 2015-12-18 |
| 1710382734 | Sprint Diagnostics LLC | Clinical Medical Laboratory | 1820 Carnegie Ave, Santa Ana, CA 92705-5503 | 2014-11-03 |
| 1134269418 | Image Orthopedic Lab, Inc. | Clinical Medical Laboratory | 1701 E Edinger Ave Ste E11, Santa Ana, CA 92705-5037 | 2007-02-07 |
| 1518039486 | Advanced Biomedical, Inc. | Clinical Medical Laboratory | 3089 S Harbor Blvd, Santa Ana, CA 92704-6448 | 2006-11-15 |
| 1528144755 | Sano Medical Clinic, Inc | Clinical Medical Laboratory | 1444 S Main St, Santa Ana, CA 92707-1717 | 2006-10-31 |
| Find all providers in SANTA ANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.