STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES (NPI# 1225089592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225089592 |
| Entity Type | Organization |
| Organization Name | STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES |
| Other Organization Name | FAIRVIEW DEVELOPMENTAL CENTER |
| Practice Address |
2501 Harbor Blvd Costa Mesa CA 92626-6143 |
| Mailing Address |
1600 9th Street Cfs: Rm206, Ms2-3 Sacramento CA 95814 |
| Practice Telephone | 7149575000 |
| Practice Fax Number | 7149575095 |
| Mailing Telephone | 9166542289 |
| Mailing Fax Number | 9166543186 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2017-10-02 |
| Authorized Official Name | MR. JOHN A DOYLE (CHIEF DEPUTY DIRECTOR) |
| Authorized Official Telephone | 9166541897 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282E00000X | Long Term Care Hospital | 170000771 | CA | Hospitals |
| N | 314000000X | Skilled Nursing Facility | 170000771 | CA | Nursing & Custodial Care Facilities |
| N | 315P00000X | Intermediate Care Facility, Mentally Retarded | 170000771 | CA | Nursing & Custodial Care Facilities |
| N | 333600000X | Pharmacy | 170000771 | CA | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
HPE9770 | CA | Suppliers |
| Y | 282N00000X | General Acute Care Hospital | 170000771 | CA | Hospitals |
| Other Name | Type Code |
|---|---|
| Fairview Developmental Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730130071 | State of California - Department of Developmental Services | General Acute Care Hospital | 3500 Zanker Rd, San Jose, CA 95134-2201 | 2006-05-12 |
| 1730130097 | State of California - Department of Developmental Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69696 Ramon Rd, Cathedral City, CA 92234-3353 | 2006-05-12 |
| 1841241130 | State of California - Department of Developmental Services | Nursing Facility/Intermediate Care Facility | 1251 Stabler Ln, Yuba City, CA 95993-2616 | 2006-05-12 |
| 1588615835 | State of California - Department of Developmental Services | Long Term Care Hospital | 26501 Avenue 140, Porterville, CA 93257-9109 | 2006-05-12 |
| 1154372498 | State of California - Department of Developmental Services | Nursing Facility/Intermediate Care Facility | 3530 Pomona Blvd, Pomona, CA 91768-3238 | 2006-05-12 |
| 1093085565 | State of California - Department of Developmental Services | Clinic/Center | 3530 W Pomona Blvd, Pomona, CA 91768-3238 | 2011-12-30 |
| 1982990206 | State of California - Department of Developmental Services | Intermediate Care Facility, Mentally Retarded | 26501 Avenue 140, Porterville, CA 93257-9109 | 2011-06-24 |
| 1851344220 | State of California - Department of Developmental Services | Long Term Care Hospital | 15000 Arnold Drive, Eldridge, CA 95431-1493 | 2006-05-18 |
| Street Address |
2501 HARBOR BLVD |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-6143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639659774 | Afsar Iranmanesh | Pharmacist | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2018-08-17 |
| 1093217531 | Wendy Pang | Pharmacist | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2018-02-28 |
| 1316330459 | Raymond Vagas | Psychologist | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2015-03-13 |
| 1083995930 | Cory Rizzuto | Counselor | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2011-09-06 |
| 1801123021 | Ashley Brooke Gardner | Social Worker | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2009-11-09 |
| 1861655045 | Ying-ling Chao | Social Worker | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2008-07-08 |
| 1316953805 | Michael Kao | Family Medicine | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2006-08-01 |
| 1295759298 | Sienna Sablan Go | Family Medicine | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2006-07-26 |
| 1760404040 | Thanhtuyen Do | Physical Medicine & Rehabilitation | 2501 Harbor Blvd, Department of Oehs Director, Dr. Do, Costa Mesa, CA 92626-6143 | 2006-07-24 |
| 1740218551 | Steven B Silverman | Internal Medicine | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922464460 | Kaiser Permanente Orange County | General Acute Care Hospital | 423 Fair Dr Apt 203, Costa Mesa, CA 92626-6255 | 2016-01-13 |
| 1194909036 | Windstone Behavioral Health | General Acute Care Hospital | 151 Kalmus Dr Ste K1, Costa Mesa, CA 92626-5975 | 2007-12-27 |
| 1922039205 | Chcm, Inc. | General Acute Care Hospital | 301 Victoria St., Costa Mesa, CA 92627-1995 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
| 1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
| 1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
| 1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
Please comment or provide details below to improve the information on STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES.
| 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.