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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CREDENA HEALTH LLC
NPI 1205811601
Pharmacy in Orange, CA

Active since December 08, 2005
1140 W LA VETA AVE, ORANGE, CA 92868(714) 744-8724(714) 744-8676 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 25, 2024, Dec 7, 2023, Oct 9, 2023 and 2 more (5 updates tracked since 2020).

About Credena Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREDENA HEALTH LLC (NPI 1205811601), doing business as Credena Health Pharmacy Orange, is a healthcare organization registered as a pharmacy in Orange, California and active in the NPI registry since December 2005. The organization lists Adam Saulles, Senior Director Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1205811601
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCREDENA HEALTH LLC
Location Address1140 W LA VETA AVEOrange, CA 92868-4225
Mailing AddressPo Box 2704Portland, OR 97208-2704
Phone(714) 744-8724
Fax(714) 744-8676
Organization SubpartNo
Authorized OfficialAdam SaullesSenior Director Pharmacy · (425) 358-9786
Enumeration DateDecember 8, 2005
Last NPPES UpdateOctober 22, 20265 updates tracked since enumeration
NPPES CertifiedOctober 22, 2026
✔ NPI 1205811601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
1140 W LA VETA AVE, Orange, CA 92868
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Other Names 1

Doing Business AsCredena Health Pharmacy Orange

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Credena Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date 2

Next revalidation due by October 31, 2026

This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20200831003396Non-DME Part B · PharmacyDue dateOctober 31, 2026
StateCaliforniaEnrollment IDO20200930000824DME · PharmacyDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Credena Health Pharmacy Orange carries, from the Medicare DMEPOS supplier directory.

Credena Health Pharmacy Orange

DMEPOS supplier · Orange, CAOperated by Credena Health LLC
✔

Accepts Medicare assignment

Credena Health Pharmacy Orange agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20481827
Medicare Participant SinceOctober 22, 2015
Supplier Location1140 W Laveta AveOrange, CA 92868
Phone(714) 744-8724
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANINE CHRISTIAN HENDRICKSON R.N.P.
Nurse Practitioner (Obstetrics & Gynecology)
1140 W LA VETA AVE, SUITE 770
ORANGE, CA 92868
Orange County (714) 835-8715
THERESA LEMBESIS PHARMD
Pharmacist
1140 W LA VETA AVE
ORANGE, CA 92868
Orange County (714) 744-8724
JENNIFER J. JUDELSON PA-C
Physician Assistant
1140 W LA VETA AVE, SUITE 860
ORANGE, CA 92868
Orange County (714) 835-6500
LAUREN TRAN PHARMD
Pharmacist
1140 W LA VETA AVE
ORANGE, CA 92868
Orange County (714) 744-8724
STERLING B MUTZ MD INC JULIO TALEISNIK MD INC ET AL
Occupational Therapist (Hand)
1140 W LA VETA AVE, SUITE 860
ORANGE, CA 92868
Orange County (714) 835-6500
JEFFREY M. SHAPIRO, MD, INC
Internal Medicine
1140 W LA VETA AVE, SUITE 615
ORANGE, CA 92868
Orange County (714) 543-8555
UC IRVINE CARDIOPULMONARY CLINIC
Clinic/Center (Medical Specialty)
1140 W LA VETA AVE, SUITE 750
ORANGE, CA 92868
Orange County (855) 563-5320
EDWARD SU-CHONG LEE M.D.
Otolaryngology
1140 W LA VETA AVE, STE. 520
ORANGE, CA 92868
Orange County (714) 543-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Credena Health LLC's NPI number?

The NPI number for Credena Health LLC is 1205811601. It was assigned to this organization in the NPPES registry on December 8, 2005. The provider is doing business as Credena Health Pharmacy Orange.

Where is Credena Health LLC located?

Credena Health LLC is located at 1140 W La Veta Ave, Orange, CA 92868. The listed phone number is (714) 744-8724.

What is Credena Health LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Is Credena Health LLC enrolled in Medicare?

Yes. Credena Health LLC is registered in the Medicare PECOS enrollment system.

When is Credena Health LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), Credena Health LLC holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by October 31, 2026 (Non-DME Part B, California, Pharmacy). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Credena Health LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Credena Health Pharmacy Orange accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Credena Health LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 47 other insurers list Credena Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Credena Health LLC was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.