SOUTHLAND INTEGRATED SERVICES, INC. (NPI# 1942717699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942717699 |
| Entity Type | Organization |
| Organization Name | SOUTHLAND INTEGRATED SERVICES, INC. |
| Other Organization Name | INTEGRATED COMMUNITY SERVICES - ANAHEIM |
| Practice Address |
2035 E Ball Rd Ste 100a Anaheim CA 92806-5158 |
| Mailing Address |
2035 E Ball Rd Anaheim CA 92806-5159 |
| Practice Telephone | 7145176150 |
| Mailing Telephone | 7145176150 |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | TRICIA THAO NGUYEN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7146207007 |
| Authorized Official Credential | M.P.H. |
| 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 |
|---|---|
| Integrated Community Services - Anaheim | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134636889 | Southland Integrated Services, Inc. | Clinic/Center | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2018-01-03 |
| 1689181331 | Southland Integrated Services, Inc. | Clinic/Center | 14140 Beach Blvd Ste 223, Westminster, CA 92683-4453 | 2018-01-03 |
| 1285708818 | Southland Integrated Services, Inc. | Clinic/Center | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2006-11-17 |
| Street Address |
2035 E BALL RD STE 100A |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92806-5158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013346931 | Aida Silva Viveros | Marriage & Family Therapist | 2035 E Ball Rd Ste 100a, Anaheim, CA 92806-5158 | 2013-11-01 |
| 1922525799 | Virginia Minjares | Case Manager/Care Coordinator | 2035 E Ball Rd Ste 100a, Anaheim, CA 92806-5158 | 2017-08-23 |
| 1538538202 | Alicia Leann Reimer | Marriage & Family Therapist | 2035 E Ball Rd Ste 100a, Anaheim, CA 92806 | 2015-09-23 |
| 1548690068 | Linda Moreno | Community Health Worker | 2035 E Ball Rd Ste 100a, Anaheim, CA 92806-5158 | 2013-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1780175968 | Brooke Lindsay Owen | Specialist/Technologist | 1300 N. Kraemer Blvd, Anaheim, CA 92806 | 2018-05-23 |
| 1033631973 | Biocorrx Inc. | Rehabilitation, Substance Use Disorder Unit | 2390 E Orangewood Avenue, Suite 575, Anaheim, CA 92806 | 2017-07-12 |
| 1437679784 | Margaret Elena Popp | Counselor | Adult and Older Adult Behavioral Health Services, 2035 E. Ball Rd, Anaheim, CA 92806 | 2017-06-27 |
| 1982134581 | Jessica Nguyen | Pharmacist | 2833 E Randy Ave, Anaheim, CA 92806 | 2017-06-15 |
| 1518493733 | Oksana Pradun | Nurse Practitioner | 2111 East Ball Rd., Anaheim, CA 92806 | 2017-05-08 |
| 1568828754 | Sanah Qureshi | Nurse Anesthetist, Certified Registered | 2546 E Strong Pl, Anaheim, CA 92806 | 2016-01-05 |
| 1689050379 | Wu Chiropractic Care, Inc. | Acupuncturist | 215 N State College Blvd., #b, Anaheim, CA 92806 | 2015-08-04 |
| 1659757375 | Jonathan Song | Dentist | 1134 N State College Blvd Ste C, Anaheim, CA 92806 | 2015-08-04 |
| 1558764761 | Mariko Horie | Acupuncturist | 504 N State College Blvd, Anaheim, CA 92806 | 2014-10-01 |
| Find all providers in zip 92806 | ||||
| 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 |
|---|---|---|---|---|
| 1386291466 | Altamed Health Services Corp | Clinic/Center | 1325 N Anaheim Blvd Ste 101, Anaheim, CA 92801-1202 | 2019-08-22 |
| 1184279952 | Share Our Selves Corporation | Clinic/Center | 1000 N Kraemer Pl Ste 204, Anaheim, CA 92806-2610 | 2019-08-07 |
| 1144760943 | Hurtt Family Health Clinic Inc. | Clinic/Center | 947 S Anaheim Blvd Ste 260, Anaheim, CA 92805-5591 | 2017-02-28 |
| 1598790529 | University of California Irvine | Clinic/Center | 2441 W La Palma Ave, Anaheim, CA 92801-2658 | 2006-07-11 |
| 1144842014 | Central City Community Health Center, Inc. | Clinic/Center | 1814 W Lincoln Ave, Anaheim, CA 92801-6730 | 2020-05-13 |
| 1598386559 | Central City Community Health Center, Inc. | Clinic/Center | 1820 W Lincoln Ave, Anaheim, CA 92801-6730 | 2020-04-30 |
| 1932756764 | Altamed Health Services Corp | Clinic/Center | 1325 N Anaheim Blvd Ste 200, Anaheim, CA 92801-1202 | 2019-08-26 |
| 1164870739 | Mission City Community Network, Inc. | Clinic/Center | 1661 W Broadway, Anaheim, CA 92802-1110 | 2016-05-24 |
| 1245605765 | Central City Community Health Center | Clinic/Center | 3111 W Orange Ave, Anaheim, CA 92804-3145 | 2015-12-09 |
| 1407230899 | Central City Community Health Center, Inc. | Clinic/Center | 2243 W Ball Rd, Anaheim, CA 92804 | 2015-07-15 |
| Find all providers in ANAHEIM | ||||
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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.