DR. JACK HOWARD SILLS (NPI# 1528114774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528114774 |
| Entity Type | Individual |
| Full Name | DR. JACK HOWARD SILLS |
| Credential | MD |
| Practice Address |
101 The City Dr S Orange CA 92868-3201 |
| Mailing Address |
1581 Loma Verda Ln Santa Ana CA 92705-3075 |
| Practice Telephone | 7144566933 |
| Practice Fax Number | 7144568850 |
| Mailing Telephone | 7148320583 |
| Mailing Fax Number | 7145058732 |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
G43525 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
101 THE CITY DR S |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538163126 | Melvin Leon Seard | Urology | 101 The City Dr S, Orange, CA 92868-3201 | 2005-06-10 |
| 1164022448 | Kwang Yeon Carol Lee | Nurse Practitioner | 101 The City Dr S, Orange, CA 92868-3298 | 2020-10-27 |
| 1679172092 | Ghazal Noory | Nurse Practitioner | 101 The City Dr S, Orange, CA 92868-3201 | 2020-10-19 |
| 1629676721 | Wendee H Montes-rodriguez | Nurse Practitioner | 101 The City Dr S, Orange, CA 92868-3298 | 2020-10-12 |
| 1295342152 | Norma Gabriela Orellana | Nurse Practitioner | 101 The City Dr S, Orange, CA 92868-3201 | 2020-09-24 |
| 1225642903 | Michelle Nguyen | Registered Nurse | 101 The City Dr S, Orange, CA 92868-3298 | 2020-09-01 |
| 1861017873 | Valerie Isaree Pooudomsak | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Orange, CA 92868-3201 | 2020-06-15 |
| 1629692330 | Denise Gabriella Tafoya | Nurse Anesthetist, Certified Registered | 101 The City Dr S, Orange, CA 92868-3201 | 2020-05-29 |
| 1063034650 | Dai Phuong Nguyen | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Orange, CA 92868-3201 | 2020-05-18 |
| 1063034692 | Kaitlin Dempsey | Nurse Anesthetist, Certified Registered | 101 The City Dr S, Orange, CA 92868-3201 | 2020-05-18 |
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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 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295197325 | Bret Nolan | Pediatrics | 101 The City Dr S, Orange, CA 92868-3298 | 2016-03-28 |
| 1427493444 | Kristi Megan Kambestad | Pediatrics | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2013-05-03 |
| 1144468620 | Pediatric Subspecialty Faculty, Inc. | Pediatrics | 455 S Main St, Psf Neonatology, Orange, CA 92868-3835 | 2009-01-22 |
| 1023286101 | Rebecca Coleman | Pediatrics | 101 The City Dr S, Building 56, Suite 600, Orange, CA 92868-3201 | 2008-02-12 |
| 1265629612 | Michel Mikhael | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2007-10-01 |
| 1396861951 | Carl Edwin Shangle | Pediatrics | 1201 W La Veta Ave, Choc Children's Specialists, Orange, CA 92868-4203 | 2007-03-22 |
| 1235215484 | Carrie C Worcester | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2006-10-31 |
| 1609951888 | Vijay Dhar | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2006-10-26 |
| 1962582122 | Eugene L Mahmoud | Pediatrics | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-10-16 |
| 1841370004 | Houchang D Modanlou | Pediatrics | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-10-16 |
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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.