ORANGE COUNTY PEDIATRIC CARDIOLOGY (NPI# 1508902289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508902289 |
| Entity Type | Organization |
| Organization Name | ORANGE COUNTY PEDIATRIC CARDIOLOGY |
| Practice Address |
1310 W Stewart Dr Suite 407 Orange CA 92868-3854 |
| Practice Telephone | 7145388887 |
| Mailing Telephone | 7145388887 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. HEATHER LOUIS (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7145385558 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians |
| Street Address |
1310 W STEWART DR SUITE 407 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558362723 | Thuy Dich Pham | Internal Medicine | 1310 W Stewart Dr, Ste 410, Orange, CA 92868-3854 | 2005-08-09 |
| 1144776683 | Shawn Beck, M.d., Inc | Urology | 1310 W Stewart Dr, Suite 402, Orange, CA 92868-3854 | 2016-08-25 |
| 1619366929 | Jamie Mccoy | Physician Assistant | 1310 W Stewart Dr, Ste 503, Orange, CA 92868-3854 | 2015-01-10 |
| 1316365752 | Elizabeth Keramati | Nurse Practitioner | 1310 W Stewart Dr, Suite 506, Orange, CA 92868-3854 | 2014-04-02 |
| 1225467038 | Southern California Eye Consultants Inc. | Clinic/Center | 1310 W Stewart Dr, Suite 311, Orange, CA 92868-3854 | 2013-11-03 |
| 1346582053 | Aaron B Fowler | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1310 W Stewart Dr, Ste 503, Orange, CA 92868-3856 | 2013-03-20 |
| 1518203678 | Angel Gomez-garcia Medical Center, Inc. | Clinic/Center | 1310 W Stewart Dr, 309, Orange, CA 92868-3854 | 2012-12-18 |
| 1336404235 | Lars Anker M.d. A Medical Corporation | Neurological Surgery | 1310 W Stewart Dr, Suite 410, Orange, CA 92868-3854 | 2012-07-07 |
| 1447522974 | Ivan M Turpin, M.d., Inc. | Surgery | 1310 W Stewart Dr, Suite 610, Orange, CA 92868-3854 | 2012-01-30 |
| 1598040339 | Divya Chode | Internal Medicine | 1310 W Stewart Dr, Ste 410, Orange, CA 92868-3854 | 2011-10-12 |
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| 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 |
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| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245505866 | Pediatrix Cardiology of Orange County, P.C. | Pediatrics | 1010 W. La Veta Ave, Suite 575, Orange, CA 92868-4305 | 2012-03-15 |
| 1881985349 | Sanjay P Sinha | Pediatrics | 1140 W La Veta Ave Ste 750, Orange, CA 92868-4217 | 2011-05-02 |
| 1578730834 | Stanley Marvin Kegel | Pediatrics | 5846 E Creekside Ave, # 20, Orange, CA 92869-5702 | 2008-05-14 |
| 1538402458 | Children's Hospital of Orange County | Pediatrics | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2013-03-28 |
| 1538449616 | Psf Cardiology Commerce | Pediatrics | 505 S Main St, Ste 200, Orange, CA 92868-4509 | 2011-08-22 |
| 1043401870 | Providence - Cardiology | Pediatrics | 1310 W Stewart Dr Ste 212, Orange, CA 92868-3837 | 2007-08-07 |
| 1477636843 | Farhouch Berdjis, M.d., Medical Corporation | Pediatrics | 1120 W La Veta Ave, Suite 100, Orange, CA 92868-4231 | 2006-10-22 |
| 1083794259 | Nafiz Kiciman | Pediatrics | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-10-16 |
| 1891883708 | Linda Ellis Muhonen | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2006-10-10 |
| 1427144666 | Ahmad Reza Ellini | Pediatrics | 1010 W La Veta Ave, Suite 575, Orange, CA 92868-4300 | 2006-10-05 |
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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.