CHILDREN'S HOSPITAL OF ORANGE COUNTY (NPI# 1093102766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093102766 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOSPITAL OF ORANGE COUNTY |
| Other Organization Name | CHOC DEPT OF PSYCHOLOGY |
| Practice Address |
1120 W La Veta Ave Suite 470 Orange CA 92868-4231 |
| Mailing Address |
1201 W La Veta Ave Orange CA 92868-4203 |
| Practice Telephone | 7145098481 |
| Mailing Telephone | 7145098649 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |
| Authorized Official Name | KERRI RUPPERT SCHILLER (CFO) |
| Authorized Official Telephone | 7145098405 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDREN'S HOSPITAL OF ORANGE COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| CHOC DEPT OF PSYCHOLOGY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790311447 | Children's Hospital of Orange County | Dentist | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-03-13 |
| 1629616792 | Children's Hospital of Orange County | Dentist | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2019-12-19 |
| 1659918852 | Children's Hospital of Orange County | Psychiatry & Neurology | 170 S Main St, Orange, CA 92868-2801 | 2019-12-06 |
| 1942861919 | Children's Hospital of Orange County | Physical Therapist | 1301 W Providence Ave, Orange, CA 92868-3808 | 2019-06-21 |
| 1780169524 | Children's Hospital of Orange County | Pediatrics | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2018-09-27 |
| 1780173583 | Children's Hospital of Orange County | Clinic/Center | 1120 W La Veta Ave Ste 660, Orange, CA 92868 | 2018-05-07 |
| 1255837449 | Children's Hospital of Orange County | Plastic Surgery | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2018-04-05 |
| 1528510724 | Children's Hospital of Orange County | Pediatrics | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2016-11-04 |
| 1295280576 | Children's Hospital of Orange County | Pediatrics | 1120 W La Veta Ave, Ste 125, Orange, CA 92868-4231 | 2016-08-17 |
| 1164882999 | Children's Hospital of Orange County | Internal Medicine | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2016-03-07 |
| Street Address |
1120 W LA VETA AVE SUITE 470 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-4231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930219 | Gregory Scott Buchert | Pediatrics | 1120 W La Veta Ave, Fl 2, Orange, CA 92868-4231 | 2005-05-23 |
| 1659996197 | Cashin Medical Corporation | Anesthesiology | 1120 W La Veta Ave, #300, Orange, CA 92868-4246 | 2020-06-10 |
| 1710469952 | Sandy Lemus | Community Health Worker | 1120 W La Veta Ave, Orange, CA 92868-4231 | 2018-09-04 |
| 1588146807 | Mary-helen Bennett | Social Worker | 1120 W La Veta Ave, Orange, CA 92868-4231 | 2018-09-04 |
| 1275015406 | Claudia Guzman | Community Health Worker | 1120 W La Veta Ave, Orange, CA 92868-4231 | 2018-09-04 |
| 1396227997 | Dhruvi Chauhan | Community Health Worker | 1120 W La Veta Ave, Orange, CA 92868-4231 | 2018-08-30 |
| 1407338007 | Patrick Paiz | Community Health Worker | 1120 W La Veta Ave, Orange, CA 92868-4231 | 2018-08-30 |
| 1124543053 | Maritza Estela Estrada | Case Manager/Care Coordinator | 1120 W La Veta Ave, Orange, CA 92868-4231 | 2017-08-11 |
| 1265980882 | Eric Robert Proffitt | Student in an Organized Health Care Education/Training Program | 1120 W La Veta Ave, Suite 470, Orange, CA 92868-4231 | 2016-09-12 |
| 1295280576 | Children's Hospital of Orange County | Pediatrics | 1120 W La Veta Ave, Ste 125, Orange, CA 92868-4231 | 2016-08-17 |
| 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 | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172946 | Olivia Armour Tiffany | Psychologist | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-07-30 |
| 1285294413 | Sarah Katherine Ruiz | Psychologist | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2019-06-19 |
| 1114329984 | Michele Audrey Ocen | Psychologist | 1120 W La Veta Ave, Suite 470, Orange, CA 92868-4231 | 2014-09-23 |
| 1437588647 | Christopher Byungwook Min | Psychologist | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2013-11-07 |
| 1124340898 | Lillian F Swords | Psychologist | 101 The City Dr S, Orange, CA 92868-3201 | 2010-02-23 |
| 1609198373 | Roberta S Woolard | Psychologist | 101 The City Dr S, Orange, CA 92868-3201 | 2010-02-23 |
| 1225203177 | Curt Alan Sandman | Psychologist | 101 The City Dr S, Orange, CA 92868-3201 | 2008-04-22 |
| 1902079221 | Nadia Torres-eaton | Psychologist | 455 S Main St, Orange, CA 92868-3835 | 2008-04-08 |
| 1063699023 | Mery Macaluso Taylor | Psychologist | 455 S Main St, Choc Pediatric Psychology Dept., Orange, CA 92868-3835 | 2008-01-22 |
| 1124200811 | Christy Ling Hom | Psychologist | 101 The City Dr S, Route 88, Orange, CA 92868-3201 | 2007-12-04 |
| Find all providers in ORANGE | ||||
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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.