CELEBRATING LIFE COMMUNITY HEALTH CENTER NPI 1013630128

NPI Information

  • NPI: 1013630128
  • Provider Name: CELEBRATING LIFE COMMUNITY HEALTH CENTER
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 1444 S MAIN ST
    SANTA ANA, CA
    ZIP 92707
  • Phone: (949) 866-3600

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NPI Details

CELEBRATING LIFE COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Santa Ana, CA. CELEBRATING LIFE COMMUNITY HEALTH CENTER NPI is 1013630128. The provider is registered as an organization entity type.

The provider's business location address is:

1444 S MAIN ST
SANTA ANA, CA
ZIP 92707-717
Phone: (949) 866-3600

The provider's authorized official is Sergey P Sergeyev .
The authorized official title is Ceo and has the following contact phone number (949) 866-3600.

The enumeration date for this NPI number is 9/22/2022 and was last updated on 9/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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