SHARE OUR SELVES CORPORATION (NPI# 1821612128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821612128 |
| Entity Type | Organization |
| Organization Name | SHARE OUR SELVES CORPORATION |
| Practice Address |
1550 Superior Ave Costa Mesa CA 92627-3653 |
| Mailing Address |
Po Box 10159 Costa Mesa CA 92627-0050 |
| Practice Telephone | 9492702100 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |
| Authorized Official Name | CHRISTY WARD (CHIEF EXECUTIVE OFFICER) |
| 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 Mobile Health Unit | Doing Business As Name - 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 |
| 1295082774 | Share Our Selves Corporation | Clinic/Center | 1014 N. Broadway, Santa Ana, CA 92701-3141 | 2012-08-14 |
| 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 |
1550 SUPERIOR AVE |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-3653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982660452 | Duc The Vu | Dentist | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2006-04-25 |
| 1144717778 | Share Our Selves Corporation | Pharmacy | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2018-04-19 |
| 1548757271 | Nancy Dao | Pharmacist | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2018-04-18 |
| 1720590003 | Stephanie Tran | Physician Assistant | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2017-10-26 |
| 1154849842 | Vy Kieu | Nurse Practitioner | 1550 Superior Ave, Costa Mesa, CA 92627 | 2017-09-02 |
| 1336505312 | Rocio Magdalena Bender | Pharmacist | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2016-01-06 |
| 1063894988 | Christina Thi Nguyen | Physician Assistant | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2015-06-27 |
| 1912315680 | Hesper Tsai | Physician Assistant | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2014-07-25 |
| 1568876209 | Nicole Ganci | Licensed Vocational Nurse | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2014-06-19 |
| 1831500917 | Cecilia Tien Dinh | Family Medicine | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2014-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508073685 | Share Our Selves Corporation | Clinic/Center | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2007-05-17 |
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|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1821697483 | North East Medical Services | Clinic/Center | 2633 San Bruno Ave, San Francisco, CA 94134-1597 | 2020-10-23 |
| 1508465303 | Valley Health Team, Inc | Clinic/Center | 459 W Line St Ste C, Bishop, CA 93514-3333 | 2020-10-22 |
| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
| 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 | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
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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.