ST JOSEPH HERITAGE HEALTHCARE
NPI 1588960504
Pediatrics in Fullerton, CA
NPI Status: Active since February 09, 2011
Contact Information
2720 N HARBOR BLVD
SUITE 220
FULLERTON, CA
ZIP 92835
Phone: (714) 449-6990
- Organization
- Pediatrics
About ST JOSEPH HERITAGE HEALTHCARE
This page provides the complete NPI Profile along with additional information for St Joseph Heritage Healthcare, a pediatrician established in Fullerton, California operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1588960504 assigned on February 2011. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as St Joseph Heritage Healthcare. The authorized official of this NPI record is John Bennett (Chief Operating Officer)
- NPI
- 1588960504
- Provider Legal Name
- ST JUDE HOSPITAL YORBA LINDA
- Other Organization Name
- ST JOSEPH HERITAGE HEALTHCARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2720 N HARBOR BLVD SUITE 220 FULLERTON, CA 92835
- Location Phone
- (714) 449-6990
- Mailing Address
- 279 IMPERIAL HWY SUITE 730 FULLERTON, CA 92835
- Mailing Phone
- (714) 449-4841
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-09-2011
- Last Update Date
- 02-09-2011
- Code Navigator
A pediatrician like St Joseph Heritage Healthcare is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| W13074C | MEDICARE PIN (08) | CA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 8 | 8 | 9 | 6 | 0 | 5 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 16 | 8 | 18 | 6 | 0 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 6 + 8 + 1 + 8 + 6 + 0 + 5 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1588960504 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023019965 | EUGENE BOSTON Individual | Internal Medicine | 2720 N HARBOR BLVD SUITE 100 FULLERTON, CA 92835 (714) 449-6990 |
| 1902944788 | MICHAEL MCCUTCHEON GREEN D.O. Individual | Family Medicine | 2720 N HARBOR BLVD 130 FULLERTON, CA 92835 (714) 449-6200 |
| 1881802759 | MICHELLE CORCORAN NP Individual | Nurse Practitioner | 2720 N HARBOR BLVD SUITE 300 FULLERTON, CA 92835 (714) 449-6990 |
| 1245439157 | PENNY LANE MAKABENTA PA Individual | Physician Assistant | 2720 N HARBOR BLVD SUITE 130 FULLERTON, CA 92835 (714) 449-6230 |
| 1255530168 | NEGEEN FARMAND PA Individual | Physician Assistant | 2720 N HARBOR BLVD SUITE 130 FULLERTON, CA 92835 (714) 449-6230 |
| 1164621074 | JOEL TETZLAFF PA Individual | Physician Assistant | 2720 N HARBOR BLVD SUITE 130 FULLERTON, CA 92835 (714) 449-6230 |
| 1619273059 | ST JUDE HOSPITAL YORBA LINDA Organization | Family Medicine | 2720 N HARBOR BLVD SUITE 100 FULLERTON, CA 92835 (714) 449-6900 |
| 1679879696 | ST JUDE HOSPITAL YORBA LINDA Organization | Family Medicine | 2720 N HARBOR BLVD SUITE 200 FULLERTON, CA 92835 (714) 449-6910 |
| 1396041315 | ST JUDE HOSPITAL YORBA LINDA Organization | Family Medicine | 2720 N HARBOR BLVD SUITE 300 FULLERTON, CA 92835 (714) 449-6990 |
| 1023314044 | ST JUDE HOSPITAL YORBA LINDA Organization | Family Medicine | 2720 N HARBOR BLVD SUITE 130 FULLERTON, CA 92835 (714) 449-6230 |
| 1891796603 | CARLOS SOBRAL MD Individual | Family Medicine | 2720 N HARBOR BLVD SUITE 100 FULLERTON, CA 92835 (714) 449-6900 |
| 1154936011 | ADVANCED SKINCARE, A PROFESSIONAL CORP. Organization | Physician Assistant | 2720 N HARBOR BLVD FULLERTON, CA 92835 (714) 879-9936 |
| 1588664916 | JONATHAN ANDERSON MD Individual | Family Medicine | 2720 N HARBOR BLVD SUITE 200 FULLERTON, CA 92835 (714) 449-6910 |
| 1023272309 | KHALED MAHMOUD HASSAN M.D. Individual | Dermatology (MOHS-Micrographic Surgery) | 2720 N HARBOR BLVD STE 220 FULLERTON, CA 92835 (714) 578-8527 |
| 1134285794 | CHRISTINE HAE-JIN WON M.D. Individual | Pediatrics | 2720 N HARBOR BLVD SUITE 220 FULLERTON, CA 92835 (714) 449-6990 |
| 1629314521 | DARSHANA PATEL PA-C Individual | Physician Assistant | 2720 N HARBOR BLVD STE 130 FULLERTON, CA 92835 (714) 449-6230 |
| 1831227610 | MR. JASON ROBERT COOK M.S., PA-C Individual | Physician Assistant (Surgical) | 2720 N HARBOR BLVD SUITE 130 FULLERTON, CA 92835 (714) 449-6200 |
| 1265433072 | DR. ROBERT ROSENBERG M.D. Individual | Dermatology (MOHS-Micrographic Surgery) | 2720 N HARBOR BLVD SUITE 210 FULLERTON, CA 92835 (714) 626-6310 |
| 1538488101 | MRS. BORA JI PA-C Individual | Physician Assistant (Medical) | 2720 N HARBOR BLVD SUITE 130 FULLERTON, CA 92835 (714) 449-6200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588960504, enumerated in the NPI registry as an "organization" on February 09, 2011
The provider is located at 2720 N Harbor Blvd Suite 220 Fullerton, Ca 92835 and the phone number is (714) 449-6990
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 09, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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