SHARE OUR SELVES CORPORATION (NPI# 1295082774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295082774 |
Entity Type | Organization |
Organization Name | SHARE OUR SELVES CORPORATION |
Other Organization Name | SOS-EL SOL WELLNESS CENTER |
Practice Address |
1014 N. Broadway Santa Ana CA 92701-3141 |
Mailing Address |
Po Box 10159 Costa Mesa CA 92627-0050 |
Practice Telephone | 9492702100 |
Practice Fax Number | 9495155804 |
Mailing Telephone | 9492702132 |
Mailing Fax Number | 9495155804 |
Enumeration Date | 2012-08-14 |
Last Update Date | 2020-07-29 |
Authorized Official Name | CHRISTY WARD (CEO) |
Authorized Official Telephone | 9495363927 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
SOS-El Sol Wellness Center | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184279952 | Share Our Selves Corporation | Clinic/Center | 1000 N Kraemer Pl Ste 204, Anaheim, CA 92806-2610 | 2019-08-07 |
1346776499 | Share Our Selves Corporation | Counselor | 20151 Sw Birch St Ste 100, Newport Beach, CA 92660-1794 | 2017-05-11 |
1497114300 | Share Our Selves Corporation | Clinic/Center | 1901 N Fairview St, Building C, Santa Ana, CA 92706-2205 | 2016-02-19 |
1649648817 | Share Our Selves Corporation | Clinic/Center | 307 Placentia Ave Ste 202, Newport Beach, CA 92663-3308 | 2015-09-04 |
1821612128 | Share Our Selves Corporation | Clinic/Center | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2020-06-02 |
1144717778 | Share Our Selves Corporation | Pharmacy | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2018-04-19 |
1023524147 | Share Our Selves Corporation | Family Medicine | 2077 Harbor Blvd, Costa Mesa, CA 92627-2630 | 2017-12-27 |
1467858837 | Share Our Selves Corporation | Clinic/Center | 136 Broadway, Costa Mesa, CA 92627-2818 | 2014-11-13 |
1033514708 | Share Our Selves Corporation | Clinic/Center | 307 Placentia Ave Ste 107, N/a, Newport Beach, CA 92663-3307 | 2014-10-23 |
1629494398 | Share Our Selves Corporation | Clinic/Center | 27725 Santa Margarita Pkwy Ste 101, Mission Viejo, CA 92691-6706 | 2014-03-05 |
Street Address |
1014 N. BROADWAY |
City | SANTA ANA |
State | CA |
Zip Code | 92701-3141 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
1750873758 | Eileen Fernandez | Counselor | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 2018-06-05 |
Find all providers in zip 92701 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1134636889 | Southland Integrated Services, Inc. | Clinic/Center | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2018-01-03 |
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1366834400 | Altamed Health Services Corp | Clinic/Center | 1155 W Central Ave, Suites 104-107, Santa Ana, CA 92707-3165 | 2015-02-26 |
1740427657 | Altamed Health Services Corp | Clinic/Center | 1400 N Main St, Santa Ana, CA 92701-2304 | 2009-01-14 |
1730349960 | University of California Irvine | Clinic/Center | 800 N Main St, Santa Ana, CA 92701-3576 | 2008-06-11 |
1760651814 | Altamed Health Services Corp | Clinic/Center | 2720 S Bristol St, Suite 110, Santa Ana, CA 92704-6207 | 2008-02-22 |
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1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
Find all providers with the same taxonomy |
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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.