FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER (NPI# 1518995505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518995505 |
| Entity Type | Organization |
| Organization Name | FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER |
| Other Organization Name | FOUNTAIN VALLEY REGIONAL HOSPITAL |
| Practice Address |
17100 Euclid St Fountain Valley CA 92708-4004 |
| Mailing Address |
File 57545 Los Angeles CA 90074-0001 |
| Practice Telephone | 7149667200 |
| Mailing Telephone | 6263004122 |
| Mailing Fax Number | 7149668039 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-03-23 |
| Authorized Official Name | MR. CRAIG C. ARMIN (VP OF GOVT PROGRAMS, TENET) |
| Authorized Official Telephone | 3107758040 |
| Is Organization Subpart | Y |
| Parent Organization Name | FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 06000109 | CA | Hospital Units |
| Other Name | Type Code |
|---|---|
| Fountain Valley Regional Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821002007 | Fountain Valley Regional Hospital & Medical Center | General Acute Care Hospital | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2006-07-27 |
| Street Address |
17100 EUCLID ST |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386648319 | Kazuo Yamazaki | Pathology | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2005-06-08 |
| 1841837028 | Kevin Lo | Pharmacist | 17100 Euclid St, Fountain Valley, CA 92708-4043 | 2019-12-05 |
| 1275170524 | Dennis Anthony Cabrera | Pharmacist | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2019-12-05 |
| 1003462722 | Caitlyn Jeein Kim | Registered Nurse | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2019-08-18 |
| 1750946851 | Pauni Medical Inc | Specialist | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2019-05-03 |
| 1023672037 | Joseph Bui | Podiatrist | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2019-04-24 |
| 1528552353 | Frederica Yarborough | Nurse Practitioner | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2018-06-15 |
| 1952894982 | Phuong Tu Lam | Registered Nurse | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2018-06-13 |
| 1881197879 | Lori Akasaka | Social Worker | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2018-03-15 |
| 1124528104 | Sara Ajifu | Social Worker | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2018-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807643 | Pacific Health Group Inc. | Psychiatric Unit | 9120 Woodman Ave, Arleta, CA 91331-6405 | 2020-06-26 |
| 1720627979 | Ernest Markovich | Psychiatric Unit | 3235 N Hartman St, Orange, CA 92865-1216 | 2020-01-04 |
| 1316416670 | Psychiatric Excellence | Psychiatric Unit | 388 Market St Ste 1300, San Francisco, CA 94111-5316 | 2018-11-16 |
| 1982192514 | Veronica E Martinez | Psychiatric Unit | 9481 Hanford St, Ventura, CA 93004-0704 | 2018-04-30 |
| 1679008817 | Ucla Semel Institute | Psychiatric Unit | 615 6th St, Davis, CA 95616-3807 | 2017-04-25 |
| 1083152748 | Rady Childrens Hospital-san Diego | Psychiatric Unit | 4305 University Avenue, Suite 150, San Diego, CA 92105 | 2017-02-02 |
| 1871045385 | Molina Psychological Consultants | Psychiatric Unit | 18 Monrovia, Irvine, CA 92602-0925 | 2016-10-31 |
| 1457808073 | Susan Mora | Psychiatric Unit | 1239 Powell St, Apt 2, San Francisco, CA 94133-4874 | 2016-09-01 |
| 1306204342 | County of Santa Clara | Psychiatric Unit | 820 Enborg Court, San Jose, CA 95128 | 2016-02-05 |
| 1477931673 | Nigthingale Nurses | Psychiatric Unit | 350 N Magnolia St, Woodlake, CA 93286-1320 | 2015-05-08 |
| Find all providers with the same taxonomy | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
Please comment or provide details below to improve the information on FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER.
| 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.