CHILDREN'S HOSPITAL OF ORANGE COUNTY (NPI# 1194118018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194118018 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOSPITAL OF ORANGE COUNTY |
| Other Organization Name | CS MISCELLANEOUS PHYSICIAN SERVICES |
| Practice Address |
1201 W La Veta Ave Orange CA 92868-4203 |
| Practice Telephone | 7145098649 |
| Practice Fax Number | 7145098374 |
| Mailing Telephone | 7145098649 |
| Mailing Fax Number | 7145098374 |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-23 |
| Authorized Official Name | MARK KELLY (DIRECTOR, BUSINESS SERVICES) |
| Authorized Official Telephone | 7145097964 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDREN'S HOSPITAL OF ORANGE COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
CA | Allopathic & Osteopathic Physicians | |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
CA | Allopathic & Osteopathic Physicians | |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
CA | Behavioral Health & Social Service Providers | |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
CA | Behavioral Health & Social Service Providers | |
| N | 103T00000X | Psychologist | CA | Behavioral Health & Social Service Providers | |
| N | 202C00000X | Independent Medical Examiner | CA | Allopathic & Osteopathic Physicians | |
| N | 208000000X | Pediatrics | CA | Allopathic & Osteopathic Physicians | |
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CS Miscellaneous Physician Services | Doing Business As Name - 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 |
1201 W LA VETA AVE |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477552941 | Roberto Limgenco Barretto | Otolaryngology | 1201 W La Veta Ave, Ste. 311, Orange, CA 92868-4213 | 2005-07-18 |
| 1083212054 | Mercy Air Service, Inc. | Ambulance | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-10-13 |
| 1225641418 | Jonathan Chodosh Strok | Nurse Practitioner | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-08-26 |
| 1881206779 | Emma Lind | Nurse Practitioner | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-08-20 |
| 1750993622 | Natalie Michelle Adame | Nurse Practitioner | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-08-20 |
| 1578172946 | Olivia Armour Tiffany | Psychologist | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-07-30 |
| 1376161323 | Tina Halabian | Student in an Organized Health Care Education/Training Program | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-07-07 |
| 1538786041 | Alyssa Marie Ramos-chavez | Psychologist | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-06-30 |
| 1588281265 | Tiffany Thao Vo | Student in an Organized Health Care Education/Training Program | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-06-29 |
| 1801423769 | Jonathan Thorpe | Student in an Organized Health Care Education/Training Program | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-03-23 |
| 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 | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518918358 | Melanie C. Nicole Irwin | Physical Medicine & Rehabilitation | 1010 W. Laveta Ave, Suite 710, Orange, CA 92868 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366925117 | Christine Marie Draper | Physical Medicine & Rehabilitation | 1900 Garden Rd Ste 200-c, Monterey, CA 93940-5373 | 2018-09-07 |
| 1922272525 | Elaine L Pico, M.d. | Physical Medicine & Rehabilitation | 2825 International Blvd, Room Rc121, Oakland, CA 94601-1543 | 2008-04-15 |
| 1295910941 | University Childrens Medical Group | Physical Medicine & Rehabilitation | 4650 W Sunset Blvd # 5, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1528080462 | Elaine Louise Pico | Physical Medicine & Rehabilitation | 3031 Telegraph Ave Ste 241, Berkeley, CA 94705-2053 | 2006-07-23 |
| 1205390655 | Rachel Sara Christensen | Physical Medicine & Rehabilitation | 1195 W Fremont Ave, Sunnyvale, CA 94087-3832 | 2019-01-29 |
| 1891265989 | Doreen Spearman | Physical Medicine & Rehabilitation | 34590 County Line Rd Ste 7, Yucaipa, CA 92399-5398 | 2018-11-30 |
| 1316445885 | Amy Quach | Physical Medicine & Rehabilitation | 8933 Activity Rd, San Diego, CA 92126-4427 | 2018-01-30 |
| 1619407459 | Shannon O'brien | Physical Medicine & Rehabilitation | 26081 Merit Cir Ste 107, Laguna Hills, CA 92653-7017 | 2017-06-14 |
| 1851844278 | Karen Charlotta Albiston | Physical Medicine & Rehabilitation | 3355 Mission Ave Ste 123, Oceanside, CA 92058-1327 | 2016-08-02 |
| 1033573126 | Faheem Mahomed | Physical Medicine & Rehabilitation | 4860 Y St Ste 3850, Sacramento, CA 95817-2307 | 2016-04-05 |
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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.