OrganizationActive
Children'S Hospital of Orange County
NPI 1023091899 · Primary Care Clinic/Center · Santa Ana, CA
Provider details
- NPI number
- 1023091899
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vivian Derr, Manager Outreach Clinics(714) 289-4812
- License
- 546154 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
406 S Main St
Santa Ana, CA 92701-5712
Phone: (714) 289-4800
Street-level locationGet directions
Mailing address
1314 Vista Prado
San Clemente, CA 92673-3649
Registry dates
- Enumerated
- 2005-11-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.