PEDIATRIC SUBSPECIALTY FACULTY, INC. (NPI# 1306098652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306098652 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SUBSPECIALTY FACULTY, INC. |
| Practice Address |
455 S Main St Orange CA 92868-3835 |
| Practice Telephone | 7146334020 |
| Practice Fax Number | 7149535462 |
| Mailing Telephone | 7146334020 |
| Mailing Fax Number | 7149535462 |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2011-05-16 |
| Authorized Official Name | HALE KUHLMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7145328649 |
| Is Organization Subpart | Y |
| Parent Organization Name | PSF OTOLARYNGOLOGY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
A54475 | CA | 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 |
| 1265673743 | Pediatric Subspecialty Faculty, Inc. | Medical Genetics | 455 S Main St, 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 |
| 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 | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013870 | Philip Ryan M Camilon, Md | Otolaryngology | 505 S Main St Ste 275, Orange, CA 92868-4547 | 2020-08-13 |
| 1104169606 | Children's Hospital of Orange County | Otolaryngology | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2013-04-03 |
| 1982715512 | Felizardo S. Camilon Jr. | Otolaryngology | 505 S Main St, Ste 275, Orange, CA 92868-4509 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477071587 | Kathy Yu-syken, Md Inc A Medical Corporation | Otolaryngology | 17742 Beach Blvd Ste 355, Huntington Beach, CA 92647-6854 | 2017-09-08 |
| 1114364148 | Kyle Steve Robinette | Otolaryngology | 9300 Valley Childrens Pl # Se18, Madera, CA 93636-8762 | 2013-05-31 |
| 1790001923 | Josephine Ann Czechowicz | Otolaryngology | 550 16th St Fl 6, Box 3213, San Francisco, CA 94158-2545 | 2010-04-13 |
| 1306002308 | Jeffrey W. Birns, M.d. A Medical Corporation | Otolaryngology | 5400 Balboa Blvd Ste 126, Encino, CA 91316-5202 | 2008-07-30 |
| 1083822217 | Aaron Chengtung Lin | Otolaryngology | 4650 W Sunset Blvd # 58, Los Angeles, CA 90027-6062 | 2007-05-20 |
| 1366592743 | Anna Katrine Meyer | Otolaryngology | 550 4th Street, San Francisco, CA 94158 | 2007-01-10 |
| 1891884359 | Dale Amanda Tylor | Otolaryngology | 1819 State St Ste A, Santa Barbara, CA 93101-2481 | 2006-10-12 |
| 1619923711 | Daniel A Spilman | Otolaryngology | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2006-05-26 |
| 1013986397 | Clifford Philip Amoils | Otolaryngology | 27879 Smyth Dr, Valencia, CA 91355 | 2006-03-17 |
| 1427025675 | Michael E. Dunham | Otolaryngology | 7060 N Recreation Ave, Suite 101, Fresno, CA 93720-8022 | 2006-03-07 |
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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.