ST JOSEPH HERITAGE HEALTHCARE (NPI# 1770068629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770068629 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH HERITAGE HEALTHCARE |
| Practice Address |
1 Edwards Way Irvine CA 92614-5688 |
| Mailing Address |
200 W Center Street Promenade Anaheim CA 92805-3960 |
| Practice Telephone | 9492503737 |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-10-17 |
| Authorized Official Name | JOHN CLAYTON BENNETT (CEO) |
| Authorized Official Telephone | 7144494800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0062055 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609925957 | St Joseph Heritage Healthcare | Family Medicine | 500 S Main St Ste 1000, Orange, CA 92868-4533 | 2007-01-09 |
| 1639715709 | St Joseph Heritage Healthcare | Family Medicine | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2019-11-22 |
| 1801443510 | St Joseph Heritage Healthcare | Internal Medicine | 1010 W La Veta Ave Ste 200, Orange, CA 92868-4301 | 2019-08-19 |
| 1427305960 | St Joseph Heritage Healthcare | Physical Medicine & Rehabilitation | 26522 La Alameda, Suite 120, Mission Viejo, CA 92691-6330 | 2012-08-14 |
| 1649551086 | St Joseph Heritage Healthcare | Anesthesiology | 2700 Dolbeer St, Eureka, CA 95501-4736 | 2011-08-30 |
| 1386937225 | St Joseph Heritage Healthcare | Durable Medical Equipment & Medical Supplies | 2826 Harris St, Eureka, CA 95503-4809 | 2011-05-25 |
| 1316243769 | St Joseph Heritage Healthcare | Durable Medical Equipment & Medical Supplies | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835 | 2011-02-02 |
| 1205131950 | St Joseph Heritage Healthcare | Durable Medical Equipment & Medical Supplies | 1100 Trancas St, Suite 209, Napa, CA 94558-2900 | 2011-01-11 |
| 1053616706 | St Joseph Heritage Healthcare | Durable Medical Equipment & Medical Supplies | 19333 Bear Valley Rd, Suite 106, Apple Valley, CA 92308-5148 | 2011-01-11 |
| 1740584473 | St Joseph Heritage Healthcare | Internal Medicine | 500 Doyle Park Dr, Suite 303, Santa Rosa, CA 95405-4558 | 2011-01-10 |
| Street Address |
1 EDWARDS WAY |
| City | IRVINE |
| State | CA |
| Zip Code | 92614-5688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1245843572 | Jose Raul Sanchez IIi | Behavior Technician | 1063 Mcgraw Ave, Irvine, CA 92614 | 2020-08-26 |
| 1548871064 | Angelina Renee Armenta | Behavior Technician | 1063 Mcgraw Avenue, Suite 100, Irvine, CA 92614 | 2020-08-10 |
| 1083267827 | Jd Health LLC | Durable Medical Equipment & Medical Supplies | 18003 Sky Park Circle, Suite B-c, Irvine, CA 92614 | 2019-07-22 |
| 1326609280 | Abigail Briana Lozano-flores | Behavior Technician | 18008 Sky Park Circle, Suite 110, Irvine, CA 92614 | 2019-06-21 |
| 1770085235 | Heather M. Ayala | Dietitian, Registered | 17985 Sky Park Circle Suite A, Irvine, CA 92614 | 2018-03-01 |
| 1598266033 | Camille Plumbar | Chiropractor | 17811 Skypark Circle, Suite E, Irvine, CA 92614 | 2018-02-21 |
| 1952812448 | Mary M Ahmadian | Nurse Practitioner | Global Transitional Care Suite 100, 2 Executive Circle, Irvine, CA 92614 | 2017-10-24 |
| 1134656804 | Reza Abaei Tafreshi | Dentist | 3 Pazzi, Irvine, CA 92614 | 2017-05-12 |
| 1467991307 | Laboratory Medicine Consultants In Diagnostics | Medical Genetics | 1565 A Mcgaw Ave, Irvine, CA 92614 | 2017-02-13 |
| Find all providers in zip 92614 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720621634 | Sherif Labatia Md & Marianne Mikhail Md Inc | Family Medicine | 4950 Barranca Pkwy Ste 308, Irvine, CA 92604-4631 | 2019-10-23 |
| 1851888671 | Infinity Medicine Inc | Family Medicine | 9950 Research Dr, Irvine, CA 92618-4309 | 2018-04-17 |
| 1336650068 | Newport Personal Medicine, Inc. | Family Medicine | 22 Odyssey Ste 110, Irvine, CA 92618-3186 | 2017-10-20 |
| 1457886095 | Wayland Tang | Family Medicine | 3877 Portola Pkwy, Irvine, CA 92602-0828 | 2017-04-20 |
| 1891148102 | Community Performancerx Mso, LLC | Family Medicine | 9701 Jeronimo Rd, Suite 300, Irvine, CA 92618-2076 | 2016-07-21 |
| 1376998732 | Janet Solis | Family Medicine | 307 Verano Pl, Irvine, CA 92617-3107 | 2016-05-04 |
| 1164878534 | Sadaf Sareshwala | Family Medicine | 1001 Health Sciences Rd, Irvine, CA 92697-3054 | 2016-05-04 |
| 1538543376 | Network of Orange County Community Health Center | Family Medicine | 17701 Cowan, Suite 220, Irvine, CA 92614-6057 | 2015-07-10 |
| 1518349216 | St Jude Hospital Yorba Linda, Inc. | Family Medicine | 3355 Michelson Dr, Ste. 490, Irvine, CA 92612-0684 | 2015-06-18 |
| 1154757201 | Low T Physicians of California PC | Family Medicine | 4968 Booth Circle, Suite 110, Irvine, CA 92604-3371 | 2013-09-20 |
| Find all providers in IRVINE | ||||
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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.