ALICE DAN-IN CHANG HOFTMAN (NPI# 1053582692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053582692 |
| Entity Type | Individual |
| Full Name | ALICE DAN-IN CHANG HOFTMAN |
| Credential | M.D. |
| Practice Address |
455 S Main St Orange CA 92868-3835 |
| Mailing Address |
455 S. Main Street Orange CA 92868 |
| Practice Telephone | 7145328617 |
| Practice Fax Number | 7142894590 |
| Mailing Telephone | 7145328617 |
| Mailing Fax Number | 7142894590 |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2009-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
A80770 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
455 S MAIN ST |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033191473 | Nancy Ann Varni | Nurse Practitioner | 455 S Main St, Orange, CA 92868-3835 | 2005-11-18 |
| 1265776587 | Victor Wang | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2012-11-27 |
| 1487906152 | Nancy Kuntz | Nurse Practitioner | 455 S Main St, Orange, CA 92868-3835 | 2012-10-05 |
| 1023360914 | Youngeun Park | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2012-10-03 |
| 1295085918 | Stacey Jannette Bass | Nurse Practitioner | 455 S Main St, Orange, CA 92868-3835 | 2012-09-11 |
| 1003165267 | Jennifer Michelle Shively | Nurse Practitioner | 455 S Main St, Orange, CA 92868-3835 | 2012-09-04 |
| 1437406014 | Heidi Rens | Pharmacist | 455 S Main St, Orange, CA 92868-3835 | 2012-08-13 |
| 1992065361 | Jina Lim | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2012-05-20 |
| 1386901700 | Elizabeth Marie Torok | Nurse Practitioner | 455 S Main St, Orange, CA 92868-3835 | 2012-04-23 |
| 1942578117 | Cassandra Lynn Stewart | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2011-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 2080P0216X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Rheumatology |
| A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457694382 | Children's Hospital of Orange County | Pediatrics | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2013-03-28 |
| 1760649842 | Andrew Ira Shulman | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2008-05-17 |
| 1235289273 | Emilina Lim | Pediatrics | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649298282 | Diane Elizabeth Brown | Pediatrics | 4650 Sunset Blvd., Los Angeles, CA 90027-6062 | 2006-07-18 |
| 1518413558 | George Lockie | Pediatrics | 100 Holland Gln, Apt 101, Escondido, CA 92026-1354 | 2016-08-30 |
| 1750748224 | Valley Children's Medical Group - Dept of Rheumatology | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2016-01-28 |
| 1356683031 | Meiqian Ma | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2013-03-20 |
| 1629356951 | Iris Reyhan | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2011-08-03 |
| 1598068736 | Sukesh Sukumaran | Pediatrics | 9300 Valley Childrens Pl # Ge10, Madera, CA 93636 | 2010-12-09 |
| 1275858391 | Rebecca Stein Kunder | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2010-03-31 |
| 1720317753 | Ornella J Rullo | Pediatrics | 10833 Le Conte Ave, Mdcc 12-430, Los Angeles, CA 90095-1752 | 2009-12-22 |
| 1104001858 | Children's Hospital Los Angeles Medical Group | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1316120298 | Specialty Medical Group Central California - Dept of Rheumatology | Pediatrics | 9300 Valley Childrens Pl, Ge10, Madera, CA 93636-8761 | 2007-12-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.