ST JOSEPH HERITAGE HEALTHCARE
NPI 1467758839
Pain Medicine - Interventional Pain Medicine in Fullerton, CA

NPI Status: Active since February 02, 2011

Contact Information

100 E VALENCIA MESA DR
SUITE 310
FULLERTON, CA
ZIP 92835
Phone: (714) 446-5200
Fax: (714) 446-5524

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine

About ST JOSEPH HERITAGE HEALTHCARE

This page provides the complete NPI Profile along with additional information for St Joseph Heritage Healthcare, a provider established in Fullerton, California operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1467758839 assigned on February 2011. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 14 years ago. St Joseph Heritage Healthcare operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. 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
1467758839
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
100 E VALENCIA MESA DR SUITE 310 FULLERTON, CA 92835
Location Phone
(714) 446-5200
Location Fax
(714) 446-5524
Mailing Address
279 IMPERIAL HWY SUITE 730 FULLERTON, CA 92835
Mailing Phone
(714) 449-4841
Mailing Fax
(714) 446-5524
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-02-2011
Last Update Date
02-02-2011
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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

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

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)
1207XS0117XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Orthopaedic Surgery of the Spine

 
2332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN BENNETT

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(714) 449-4800

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
W13074CMEDICARE 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.
1467758839
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241271451686
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 4 + 5 + 1 + 6 + 8 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1467758839 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

KEVIN KUWABARA

Chiropractor

(Orthopedic)

100 E VALENCIA MESA DR
SUITE 105
FULLERTON, CA
ZIP 92835

(714) 446-5200

DR. DONALD ARMSTRONG M.D.

Obstetrics & Gynecology

(Gynecology)

100 E VALENCIA MESA DR
SUITE #215
FULLERTON, CA
ZIP 92835

(714) 879-6533

AFRICA S SO MD

Pediatrics

100 E VALENCIA MESA DR
#100
FULLERTON, CA
ZIP 92835

(714) 525-4185

JI YONG PARK DDS

Dentist

(Orthodontics and Dentofacial Orthopedics)

100 E VALENCIA MESA DR
SUITE 209
FULLERTON, CA
ZIP 92835

(714) 871-0500

HONG AND LEE DENTAL CORPORATION

Dentist

(Pediatric Dentistry)

100 E VALENCIA MESA DR
STE 102
FULLERTON, CA
ZIP 92835

(714) 992-5437

ROBERT DRUMMOND NELSON DDS

Dentist

(Oral and Maxillofacial Surgery)

100 E VALENCIA MESA DR
STE 305
FULLERTON, CA
ZIP 92835

(714) 525-1178

MS. MAY MAJIED ALI PA-C

Physician Assistant

(Surgical)

100 E VALENCIA MESA DR
SUITE 311
FULLERTON, CA
ZIP 92835

(714) 446-5180

BENJAMIN ROTHMAN A PHARMACY CORPORATION

Pharmacy

(Community/Retail Pharmacy)

100 E VALENCIA MESA DR
SUITE 106
FULLERTON, CA
ZIP 92835

(714) 992-1234

CHIKA KAWASHIMA

Physician Assistant

100 E VALENCIA MESA DR
SUITE 310
FULLERTON, CA
ZIP 92835

(714) 446-5527

ROBERT MAURER

Chiropractor

(Occupational Health)

100 E VALENCIA MESA DR
SUITE 105
FULLERTON, CA
ZIP 92835

(714) 992-3967

DR. GORDON COLIN GUNN MD

Obstetrics & Gynecology

(Gynecology)

100 E VALENCIA MESA DR
SUITE # 215
FULLERTON, CA
ZIP 92835

(714) 912-2211

JEFFREY BODWIN MD

Internal Medicine

(Endocrinology, Diabetes & Metabolism)

100 E VALENCIA MESA DR
SUITE 105
FULLERTON, CA
ZIP 92835

(714) 446-5640

JAY HAN M.D.

Internal Medicine

(Cardiovascular Disease)

100 E VALENCIA MESA DR
SUITE 206
FULLERTON, CA
ZIP 92835

(714) 446-5050

ARTHUR D ZEPEDA MD

Pain Medicine

(Pain Medicine)

100 E VALENCIA MESA DR
SUITE 310
FULLERTON, CA
ZIP 92835

(714) 446-5200

GORDON GUNN M.D INC A MEDICAL CORPORATION

Specialist

100 E VALENCIA MESA DR
# 215
FULLERTON, CA
ZIP 92835

(714) 912-2211

THEODORE PASTRANA MD., APC

Preferred Provider Organization

100 E VALENCIA MESA DR
STE. 100
FULLERTON, CA
ZIP 92835

(714) 525-4185

DR. RICARDA D BENZ M.D.

Obstetrics & Gynecology

(Gynecology)

100 E VALENCIA MESA DR
#215
FULLERTON, CA
ZIP 92835

(714) 912-2211

DR. LAURA ANN PIROUTEK D.M.D.

Dentist

(Endodontics)

100 E VALENCIA MESA DR
SUITE 306
FULLERTON, CA
ZIP 92835

(714) 462-4680

C.K.C. INVESTMENT,INC.

Pharmacy

(Community/Retail Pharmacy)

100 E VALENCIA MESA DR
FULLERTON, CA
ZIP 92835

(714) 992-1234

THEODORE B. PASTRANA JR. M.D.

Family Medicine

100 E VALENCIA MESA DR
STE 100
FULLERTON, CA
ZIP 92835

(714) 525-4185

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467758839, enumerated as an "organization" on February 02, 2011.

The provider is located at 100 E VALENCIA MESA DR SUITE 310 FULLERTON, CA 92835 and the phone number is (714) 446-5200.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.