PEDIATRIC NEUROLOGY OF ORANGE COUNTY, PC (NPI# 1366858615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366858615 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC NEUROLOGY OF ORANGE COUNTY, PC |
| Practice Address |
30131 Town Center Dr Suite 245 Laguna Niguel CA 92677-2034 |
| Practice Telephone | 9494959600 |
| Practice Fax Number | 9492497848 |
| Mailing Telephone | 9494959600 |
| Mailing Fax Number | 9492497848 |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |
| Authorized Official Name | DR. REBECCA GARFINKLE (PHYSICIAN) |
| Authorized Official Telephone | 9494959600 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 20A12878 | CA | Ambulatory Health Care Facilities |
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
20A12878 | CA | Ambulatory Health Care Facilities |
| Street Address |
30131 TOWN CENTER DR SUITE 245 |
| City | LAGUNA NIGUEL |
| State | CA |
| Zip Code | 92677-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043219595 | Angela Calton | Specialist | 30131 Town Center Dr, Suite 250, Laguna Niguel, CA 92677-2034 | 2005-07-18 |
| 1356701965 | Dr Susan Pazak Psychological Services | Community/Behavioral Health | 30131 Town Center Dr, Suite 280, Laguna Niguel, CA 92677-2034 | 2016-02-25 |
| 1558747816 | Brandan Althof | Dentist | 30131 Town Center Dr, Laguna Niguel, CA 92677-2034 | 2015-08-09 |
| 1073916441 | Stacy Lavino | Marriage & Family Therapist | 30131 Town Center Dr, Suite #292, Laguna Niguel, CA 92677-2034 | 2014-09-30 |
| 1174949408 | Norman F. Huefner Dmd A Prof Corp | Dentist | 30131 Town Center Dr, 160, Laguna Niguel, CA 92677-2034 | 2014-03-11 |
| 1508292491 | Teresa Geldmacher | Marriage & Family Therapist | 30131 Town Center Dr, #292, Laguna Niguel, CA 92677-2034 | 2013-09-24 |
| 1326482225 | Andrew R. Mcintosh, M.d. Inc. | Technician, Other | 30131 Town Center Dr, Suite 195, Laguna Niguel, CA 92677-2034 | 2013-04-22 |
| 1174861108 | Leisure Care Home Care Agency, Inc | Custodial Care Facility | 30131 Town Center Dr, Suite 205, Laguna Niguel, CA 92677-2034 | 2013-01-25 |
| 1861764854 | Melissa Przeklasa Auth Md Professional Corporation | Psychiatry & Neurology | 30131 Town Center Dr, 195, Laguna Niguel, CA 92677-2034 | 2012-02-06 |
| 1174814503 | Suzanne K Mcwayne | Social Worker | 30131 Town Center Dr, 104, Laguna Niguel, CA 92677-2034 | 2011-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114566049 | Amber Kramer | Physical Therapist | 30100 Town Center Drive #yz, Laguna Niguel, CA 92677 | 2019-12-23 |
| 1811548340 | Morgan Peikar | Rehabilitation Hospital | 28441 Springfield Dr, Laguna Niguel, CA 92677 | 2019-09-25 |
| 1871056382 | Jacqueline Evamarie Serrano | Chiropractor | 28062 Forbes Road, Laguna Niguel, CA 92677 | 2019-04-11 |
| 1316408859 | Azadeh Ghafari | Social Worker | 30100 Town Center Dr # 179, Laguna Niguel, CA 92677 | 2019-03-27 |
| 1346741857 | Diana Wang | Physical Medicine & Rehabilitation | 30100 Town Center Drive Suite, Suite Yz, Laguna Niguel, CA 92677 | 2018-02-21 |
| 1750833554 | James H. Tran Dds, Dental Corp. | Dentist | 23876 Aliso Creek Road, Laguna Niguel, CA 92677 | 2016-10-27 |
| 1215486139 | Kevin Sun | Dentist | 49 Blue Horizon, Laguna Niguel, CA 92677 | 2016-10-04 |
| 1740637842 | Michael Dacosta | Dentist | 28862 Calle Vista, Laguna Niguel, CA 92677 | 2016-05-18 |
| 1235590373 | Adrian Gomez | Counselor | 24361 Nugget Falls Ln, Laguna Niguel, CA 92677 | 2016-03-17 |
| 1427455906 | Gracie Heart Home Health LLC | Home Health | 24318 El Pilar, Laguna Niguel, CA 92677 | 2014-11-26 |
| Find all providers in zip 92677 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778525 | Firefly Center: Therapy Services for Children | Clinic/Center | 1601 Old Bayshore Hwy Ste 221, Burlingame, CA 94010-1508 | 2020-10-21 |
| 1245718287 | Rapha Rehabilities | Clinic/Center | 4959 Palo Verde St Ste 110b, Montclair, CA 91763-2303 | 2018-08-01 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1407374333 | Social Skills Training and Resources | Clinic/Center | 157 Grand Ave Ste 205, Pacific Grove, CA 93950-2752 | 2017-08-30 |
| 1588047492 | Autism Center of Northern California | Clinic/Center | 870 Market St Ste 472-476, San Francisco, CA 94102-3001 | 2015-07-09 |
| 1962806166 | Rady Childrens Hospital-san Diego | Clinic/Center | 3665 Kearny Villa Rd Ste 440, San Diego, CA 92123-1953 | 2014-10-17 |
| 1356683015 | Speechcom Incorporated | Clinic/Center | 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 | 2013-03-20 |
| 1619263266 | Russo, Fleck & Associates | Clinic/Center | 960 W Town and Country Rd, Orange, CA 92868-4714 | 2011-06-22 |
| 1316252000 | Pediatric Minds Medical Center | Clinic/Center | 3524 Torrance Blvd Ste 103, Torrance, CA 90503-4821 | 2010-08-18 |
| 1700117082 | Blackwell Homes | Clinic/Center | 1646 S Wright Rd, Santa Rosa, CA 95407-7318 | 2010-01-26 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA NIGUEL |
| Zip Code | 92677 |
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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.