ST. ELIZABETH HEALTHCARE CENTER
NPI 1285198192
Skilled Nursing Facility in Fullerton, CA

Active since January 24, 2019CLIA 05D0576783 · Waiver
2800 N HARBOR BLVD, FULLERTON, CA 92835(714) 871-9202(714) 871-9677 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 18, 2022, Feb 17, 2021, Jul 10, 2020 and 1 more (4 updates tracked since 2019).

About St. Elizabeth Healthcare Center NPPES

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

ST. ELIZABETH HEALTHCARE CENTER (NPI 1285198192) is a healthcare organization registered as a skilled nursing facility in Fullerton, California and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Soon Burnam, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1285198192
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFULLERTON HEALTHCARE, INC.
Location Address2800 N HARBOR BLVDFullerton, CA 92835-1727
Mailing Address2800 N Harbor BlvdFullerton, CA 92835-1727 · (714) 871-9202 · Fax (714) 871-9677
Fax(714) 871-9677
Organization SubpartNo
Authorized OfficialSoon BurnamAuthorized Official · (949) 540-1249
Enumeration DateJanuary 24, 2019
Last NPPES UpdateApril 18, 20224 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
NPI 1285198192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

2800 N HARBOR BLVD, Fullerton, CA 92835

Other Names 1

Doing Business AsSt. Elizabeth Healthcare Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0576783

St Elizabeth Healthcare Center · Fullerton, CA
Active · expires Aug 31, 2026
CLIA Number05D0576783
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKiho Woo
Laboratory Phone(714) 871-9202
Laboratory LocationSt Elizabeth Healthcare Center2800 N Harbor Blvd, Fullerton, CA 92835
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Occupational Therapist
2800 N HARBOR BLVD
FULLERTON, CA 92835
Occupational Therapist
2800 N HARBOR BLVD
FULLERTON, CA 92835
Occupational Therapist
2800 N HARBOR BLVD
FULLERTON, CA 92835
Occupational Therapist
2800 N HARBOR BLVD
FULLERTON, CA 92835
Skilled Nursing Facility
2800 N HARBOR BLVD
FULLERTON, CA 92835
Occupational Therapist
2800 N HARBOR BLVD
FULLERTON, CA 92835
Occupational Therapist (Physical Rehabilitation)
2800 N HARBOR BLVD
FULLERTON, CA 92835
Occupational Therapy Assistant
2800 N HARBOR BLVD
FULLERTON, CA 92835

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 Fullerton Healthcare, Inc.'s NPI number?

The NPI number for Fullerton Healthcare, Inc. is 1285198192. It was assigned to this organization in the NPPES registry on January 24, 2019. The provider is doing business as St. Elizabeth Healthcare Center.

Where is Fullerton Healthcare, Inc. located?

Fullerton Healthcare, Inc. is located at 2800 N Harbor Blvd, Fullerton, CA 92835. The listed phone number is (714) 871-9202.

What is Fullerton Healthcare, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Fullerton Healthcare, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0576783) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fullerton Healthcare, Inc. was last updated on April 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.