CELEBRATING LIFE COMMUNITY HEALTH CENTER – NPI #1558068098
Clinic/Center

CELEBRATING LIFE COMMUNITY HEALTH CENTER is an AHC clinic located in IRVINE, CA. NPPES has assigned the NPI number 1558068098 to CELEBRATING LIFE COMMUNITY HEALTH CENTER on February 15, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CELEBRATING LIFE COMMUNITY HEALTH CENTER below.

NPI Profile for
CELEBRATING LIFE COMMUNITY HEALTH CENTER

NPI Number
1558068098
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CELEBRATING LIFE COMMUNITY HEALTH CENTER
Primary location
15785 LAGUNA CANYON RD STE 250
IRVINE, CA 92618-3179
Phone: (949) 866-3600 Fax:
Mailing address
27800 MEDICAL CENTER RD STE 110
MISSION VIEJO, CA 92691-6407
Phone: (949) 433-6686 Fax:
Organization Subpart
No
Authorized Official
SERGEY SERGEYEV
CEO
Phone: (949) 433-6686
Updated
Certification Date
Feb 15, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CELEBRATING LIFE COMMUNITY HEALTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCA1386273100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.