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LESTONNAC FREE CLINIC
NPI 1457724023
Clinic/Center in Orange, CA

Active since November 04, 2015CLIA 05D1051243 · Waiver
1215 E CHAPMAN AVE, ORANGE, CA 92866(714) 644-4600 Get Directions Write a Review

NPPES record last updated: November 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lestonnac Free Clinic NPPES

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

LESTONNAC FREE CLINIC (NPI 1457724023) is a healthcare organization registered as a clinic/center in Orange, California and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through October 1, 2027 and lists Teresa Mullin, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1457724023
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLESTONNAC FREE CLINIC
Location Address1215 E CHAPMAN AVEOrange, CA 92866-2237
Mailing Address1215 E Chapman AveOrange, CA 92866-2237 · (714) 633-4600
Phone(714) 644-4600
Organization SubpartYesParent: St Jeanne De Lestonnac Free Clinic
Authorized OfficialTeresa MullinNurse Practitioner · (949) 413-1619
Enumeration DateNovember 4, 2015
✔ NPI 1457724023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1215 E CHAPMAN AVE, Orange, CA 92866
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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 05D1051243

Lestonnac Free Clinic · Orange, CA
Active · expires Oct 1, 2027
CLIA Number05D1051243
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorPaul Mansonhing, MD
Laboratory Phone(714) 583-6431
Laboratory LocationLestonnac Free Clinic1215 E Chapman Ave, Orange, CA 92866
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

MANIJEH E. LANI FNP
Nurse Practitioner (Family)
1215 E CHAPMAN AVE
ORANGE, CA 92866
Orange County (949) 910-0010
DR. DONNA R GEE DMD
Dentist (General Practice)
1215 E CHAPMAN AVE
ORANGE, CA 92866
Orange County (714) 633-4600
ST JEANNE DE LESTONNAC FREE CLINIC, INC.
Voluntary or Charitable
1215 E CHAPMAN AVE
ORANGE, CA 92866
Orange County (714) 633-4600
MRS. RUTH BURKE RN
Registered Nurse
1215 E CHAPMAN AVE, SUITE 10
ORANGE, CA 92866
Orange County (714) 516-9045
MS. KAREN R. KASSABIAN APN
Nurse Practitioner (Adult Health)
1215 E CHAPMAN AVE, SUITE #6
ORANGE, CA 92866
Orange County (714) 516-9045
RAJVEE ROHITKUMAR BHAKTA DDS
Dentist
1215 E CHAPMAN AVE
ORANGE, CA 92866
Orange County (714) 583-6431
CARA KRISTINE KEYS RN
Registered Nurse
1215 E CHAPMAN AVE
ORANGE, CA 92866
Orange County (714) 516-9045
HANNAH CHAU ELIZABETH CHAU
Community Health Worker
1215 E CHAPMAN AVE
ORANGE, CA 92866
Orange County (714) 633-4600

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 Lestonnac Free Clinic's NPI number?

The NPI number for Lestonnac Free Clinic is 1457724023. It was assigned to this organization in the NPPES registry on November 4, 2015.

Where is Lestonnac Free Clinic located?

Lestonnac Free Clinic is located at 1215 E Chapman Ave, Orange, CA 92866. The listed phone number is (714) 644-4600.

What is Lestonnac Free Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Lestonnac Free Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1051243) is associated with this NPI, valid through October 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lestonnac Free Clinic was last updated on November 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.