CHILDREN'S HOSPITAL OF ORANGE COUNTY (NPI# 1336482256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336482256 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOSPITAL OF ORANGE COUNTY |
| Other Organization Name | CS CRITICAL CARE |
| Practice Address |
1201 W La Veta Ave Orange CA 92868-4203 |
| Practice Telephone | 7145098620 |
| Practice Fax Number | 7145094072 |
| Mailing Telephone | 7145098620 |
| Mailing Fax Number | 7145094072 |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-10-17 |
| Authorized Official Name | MARK KELLY (DIRECTOR, CS BUSINESS SERVICES) |
| Authorized Official Telephone | 7145097964 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDREN'S HOSPITAL OR ORANGE COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CS Critical Care | 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 | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235135302 | Northwest Newborn Specialists PC | Pediatrics | 770 The City Dr S, Suite 4000, Orange, CA 92868-4900 | 2005-06-23 |
| 1205179132 | Children's Hospital of Orange County | Pediatrics | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2013-03-28 |
| 1154680650 | Vanessa Wong | Pediatrics | 505 S Main St, Suite 525, Orange, CA 92868-4509 | 2012-05-04 |
| 1770849416 | Kathryn Shannon Mcmenaman | Pediatrics | 1201 W La Veta Ave, Orange, CA 92868 | 2012-04-06 |
| 1134307713 | Robert Brett Kelly | Pediatrics | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2008-02-05 |
| 1265615389 | Juliette L Hunt | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2007-12-12 |
| 1932305000 | Michele B Domico | Pediatrics | 455 S Main Street, Orange, CA 92868-3835 | 2007-06-25 |
| 1881731909 | Andrea Plummer Guardenier | Pediatrics | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2007-01-30 |
| 1811077084 | Mehrdad Jalili | Pediatrics | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-10-16 |
| 1255427076 | Paul S. Lubinsky | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2006-10-05 |
| 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.