THC - ORANGE COUNTY, LLC – NPI #1093947251
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

THC - ORANGE COUNTY, LLC is a provider located in SAN DIEGO, CA. NPPES has assigned the NPI number 1093947251 to THC - ORANGE COUNTY, LLC on August 20, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 8 years ago on Jul 19, 2018. 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 THC - ORANGE COUNTY, LLC below.

NPI Profile for
THC - ORANGE COUNTY, LLC

NPI Number
1093947251
Enumeration Date

(about 17 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
THC - ORANGE COUNTY, LLC
Primary location
1940 EL CAJON BLVD
SAN DIEGO, CA 92104
Phone: (619) 543-4500 Fax: (619) 294-2979
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MOSTAFA DARVISH
EXECUTIVE DIRECTOR
Phone: (714) 893-4541
Updated
Identifiers

Identifiers for THC - ORANGE COUNTY, LLC

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
OTHERBLUE CROSSCA052035
OTHERHEALTH NETCAZZT40220I
MEDICAIDCAZZT30220I
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
208D00000X
- General Practice (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.