PEDIATRIC SURGICAL SPECIALISTS OF ORANGE COUNTY (NPI# 1194908293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194908293 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SURGICAL SPECIALISTS OF ORANGE COUNTY |
| Practice Address |
1120 W La Veta Ave Suite 100 Orange CA 92868-4231 |
| Practice Telephone | 7143614480 |
| Practice Fax Number | 7143614490 |
| Mailing Telephone | 7143614480 |
| Mailing Fax Number | 7143614490 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-12 |
| Authorized Official Name | MISS CHRISTINA M BARRETTA (PRACTICE MANAGER) |
| Authorized Official Telephone | 7143614480 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
G79479 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1120 W LA VETA AVE SUITE 100 |
| 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 | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851375828 | Yigit Saffet Guner | Surgery | 505 S Main St Ste 225, Orange, CA 92868-4516 | 2005-12-02 |
| 1659371581 | Troy Michael Reyna | Surgery | 1010 W La Veta Ave, Suite 640, Orange, CA 92868-4300 | 2005-07-21 |
| 1033118500 | John Clifford German | Surgery | 396 S Main St Ste 200, Orange, CA 92868-3845 | 2005-07-18 |
| 1003159500 | Children's Hospital of Orange County | Surgery | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2013-04-03 |
| 1811230741 | Children's Hospital of Orange County | Surgery | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2013-03-28 |
| 1457691685 | Saeed-ur-rehman Awan | Surgery | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2013-02-25 |
| 1003054420 | Pediatric Subspecialty Faculty, Inc. | Surgery | 455 S Main St, General Surgery, Orange, CA 92868-3835 | 2009-01-22 |
| 1508946641 | Sherif G S Emil | Surgery | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-10-16 |
| 1336119122 | Vinh Thuy Lam | Surgery | 396 S Main St Ste 200, Orange, CA 92868-3845 | 2006-01-24 |
| 1467432609 | David Len Gibbs | Surgery | 505 S Main St, Suite 225, Orange, CA 92868-4509 | 2006-01-20 |
| Find all providers in ORANGE | ||||
Please comment or provide details below to improve the information on PEDIATRIC SURGICAL SPECIALISTS OF ORANGE COUNTY.
| 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.