SOUTHLAND INTEGRATED SERVICES, INC.
NPI 1285708818
Clinic/Center - Federally Qualified Health Center (FQHC) in Garden Grove, CA
About Southland Integrated Services, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHLAND INTEGRATED SERVICES, INC. (NPI 1285708818), doing business as Vietnamese Community Of Orange County, Inc., is a healthcare organization registered as a federally qualified health center (fqhc) in Garden Grove, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Tricia Thao Nguyen, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southland Integrated Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Southland Integrated Services, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 05D0946857
Southland Integrated Services, Inc · Garden Grove, CAFrequently 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 Southland Integrated Services, Inc.'s NPI number?
The NPI number for Southland Integrated Services, Inc. is 1285708818. It was assigned to this organization in the NPPES registry on November 17, 2006. The provider was formerly known as Vietnamese Community Of Orange County, Inc..
Where is Southland Integrated Services, Inc. located?
Southland Integrated Services, Inc. is located at 9862 Chapman Ave, Garden Grove, CA 92841. The listed phone number is (714) 620-7001.
What is Southland Integrated Services, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Southland Integrated Services, Inc. enrolled in Medicare?
Yes. Southland Integrated Services, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southland Integrated Services, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Southland Integrated Services, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Family Practice (2). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southland Integrated Services, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0946857) is associated with this NPI, valid through June 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Southland Integrated Services, Inc. was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Southland Integrated Services, Inc. · NPI 1285708818
Federally Qualified Health Center (FQHC) organization in Garden Grove, California. Organization record, active in the CMS NPPES registry since November 17, 2006.
## Identity
- **NPI:** 1285708818 (Entity type: Organization)
- **Enumerated:** November 17, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Tricia Nguyen, CEO
## Practice location
- **Address:** 9862 CHAPMAN AVE, Garden Grove, CA 92841-2726
- **Phone:** (714) 620-7001 · **Fax:** (714) 620-7091
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (2); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2020
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1285708818) · Data from the CMS NPPES public registry.