State of California - Department of Developmental Services
State of California - Department of Developmental Services is a Long Term Care Hospital in Costa Mesa, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 6
Practice location Address checks out
2501 Harbor BlvdCosta Mesa, CA 92626-6143
Phone: (714) 957-5000
Fax: (714) 957-5095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Acute Care Hospital (primary) | Taxonomy 282N00000X · Licence 170000771 (CA) |
|---|---|
| Long Term Care Hospital | Taxonomy 282E00000X · Licence 170000771 (CA) |
| Skilled Nursing Facility | Taxonomy 314000000X · Licence 170000771 (CA) |
| Intellectual Disabilities Intermediate Care Facility | Taxonomy 315P00000X · Licence 170000771 (CA) |
| Pharmacy | Taxonomy 333600000X · Licence 170000771 (CA) |
| Long Term Care Pharmacy | Taxonomy 3336L0003X · Licence HPE9770 (CA) |
Record details
| NPI number | 1225089592 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carla Castaneda — Chief Deputy Director · (916) 654-2822 |
| Other names | Fairview Developmental Center; Fairview Developmental Center |
| NPI enumerated | May 12, 2006 |
| Last updated in NPPES | April 7, 2022 |
| Certification date | March 28, 2022 |
| Mailing address | 1215 O Street, Cfs: Ms 10-30, Sacramento, CA 95814 |