PEDIATRIC SUBSPECIALTY FACULTY, INC. (NPI# 1265673743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265673743 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SUBSPECIALTY FACULTY, INC. |
| Practice Address |
455 S Main St Orange CA 92868-3835 |
| Practice Telephone | 7145328649 |
| Mailing Telephone | 7145328649 |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2009-03-13 |
| Authorized Official Name | HALE KUHLMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7145328649 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207SG0202X |
Medical Genetics Specialization: Clinical Biochemical Genetics |
Allopathic & Osteopathic Physicians | ||
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417256918 | Pediatric Subspecialty Faculty, Inc. | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2011-03-23 |
| 1639310113 | Pediatric Subspecialty Faculty, Inc. | Pediatrics | 455 S Main St, , Psf Developmental-behavioral Pediatrics, Orange, CA 92868-3835 | 2009-03-13 |
| 1003054420 | Pediatric Subspecialty Faculty, Inc. | Surgery | 455 S Main St, General Surgery, Orange, CA 92868-3835 | 2009-01-22 |
| 1144468620 | Pediatric Subspecialty Faculty, Inc. | Pediatrics | 455 S Main St, Psf Neonatology, Orange, CA 92868-3835 | 2009-01-22 |
| 1306098652 | Pediatric Subspecialty Faculty, Inc. | Otolaryngology | 455 S Main St, Orange, CA 92868-3835 | 2008-10-17 |
| 1790850279 | Pediatric Subspecialty Faculty, Inc. | Pediatrics | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2006-11-21 |
| 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 | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275821555 | Cristel C Chapel Crespo | Medical Genetics | Choc Childrens, 1201 W La Veta Ave, Orange, CA 92868 | 2011-07-20 |
| 1912964925 | Virginia E Kimonis | Medical Genetics | 101 The City Dr S # Zc4482, Division of Genetics and Metabolism, Orange, CA 92868-3201 | 2006-04-26 |
| 1689917502 | Children's Hospital of Orange County | Medical Genetics | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2013-03-28 |
| 1316117955 | Touran M Zadeh Md Inc | Medical Genetics | 211 South Main Street, Suite E, Orange, CA 92868 | 2008-03-11 |
| 1578606505 | Sucheta Bhatt | Medical Genetics | 1054 W Town and Country Rd, Orange, CA 92868-4716 | 2007-02-15 |
| 1821178906 | Maureen E Bocian | Medical Genetics | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-10-16 |
| 1750461802 | John Jay Gargus | Medical Genetics | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-10-16 |
| 1356435622 | Michael V Zaragoza | Medical Genetics | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-10-03 |
| 1811932940 | Touran M Zadeh | Medical Genetics | 211 South Main Street, Ste E, Orange, CA 92868 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588282263 | Sabrina Flores Cheng | Medical Genetics | 8 Hill St, Mill Valley, CA 94941-2007 | 2020-07-09 |
| 1972034841 | David Randall Blair | Medical Genetics | 550 16th St # 706, San Francisco, CA 94158-2545 | 2017-03-23 |
| 1841747052 | Risa Peoples | Medical Genetics | 743 Cereza Dr, Palo Alto, CA 94306-3145 | 2016-09-06 |
| 1659739472 | John David Stephens X | Medical Genetics | 220 S California Ave Ste 106, Palo Alto, CA 94306-1636 | 2016-02-08 |
| 1043576069 | Heather Marshall Byers | Medical Genetics | 300 Pasteur Dr Rm A097, Stanford, CA 94305-2200 | 2012-04-03 |
| 1437471810 | Jaime J Barea | Medical Genetics | 9300 Valley Childrens Pl # Ge21, Madera, CA 93636-8761 | 2010-02-25 |
| 1023218062 | Tom W Chu | Medical Genetics | 1025 Cascade Dr, Sunnyvale, CA 94087-4003 | 2007-07-18 |
| 1023224557 | Thomas Slavin Jr. | Medical Genetics | 2430 Cross St, La Crescenta, CA 91214-3103 | 2007-05-14 |
| 1861614299 | Eric Dec | Medical Genetics | 34145 Pacific Coast Hwy # 803, Dana Point, CA 92629-2808 | 2007-05-03 |
| 1164541181 | Matthew Deardorff | Medical Genetics | 4650 W Sunset Blvd # Ms 43, Los Angeles, CA 90027-6062 | 2007-03-29 |
| 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.