CHILDREN'S HOSPITAL OF ORANGE COUNTY (NPI# 1528510724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528510724 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOSPITAL OF ORANGE COUNTY |
| Practice Address |
1201 W La Veta Ave Orange CA 92868-4203 |
| Practice Telephone | 7145098600 |
| Practice Fax Number | 7145094798 |
| Mailing Telephone | 7145099081 |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2018-04-06 |
| Authorized Official Name | ZENICEL J. GONZALES (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 7145094511 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDREN'S HOSPITAL OF ORANGE COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
| N | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
| 1225419302 | Children's Hospital of Orange County | General Acute Care Hospital | 1120 W La Veta Ave Ste 470, Orange, CA 92868-4233 | 2015-06-15 |
| 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 | 2085P0229X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Pediatric Radiology |
| A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134354079 | Tuan Dao | Radiology | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2009-05-21 |
| 1992974190 | Vadim Chudnovsky Md | Radiology | 2601 E Chapman Ave, Orange, CA 92869-3206 | 2008-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255702262 | Nicole Hughes | Radiology | 1975 4th St Rm C-1758l, San Francisco, CA 94158-2351 | 2015-10-16 |
| 1841633468 | Katherine Elizabeth Barton | Radiology | 4860 Y Street, Suite 3100, Sacramento, CA 95817-2309 | 2013-04-12 |
| 1609190578 | Brian Stewart Pugmire | Radiology | 1504 N Wishon Ave, Fresno, CA 93728-1827 | 2010-03-22 |
| 1427210160 | Juan C. Baez | Radiology | 11234 Anderson St Ste Mc-b623a, Loma Linda, CA 92354-2804 | 2008-06-25 |
| 1669657318 | University Childrens Medical Group | Radiology | 4650 W Sunset Blvd # 81, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1740489350 | Michael Frederick Fadell II | Radiology | 725 Welch Rd Rm 1890, Palo Alto, CA 94304-1601 | 2007-07-13 |
| 1649495029 | Alexander Anthony Cacciarelli | Radiology | 2198 Ladycliff Cir, Thousand Oaks, CA 91360-1978 | 2007-04-13 |
| 1376698548 | Aegis Pediatric Imaging Medical Group | Radiology | 116 W Lime Ave, Monrovia, CA 91016-2841 | 2007-01-25 |
| 1386738870 | Cornelia Kaminsky | Radiology | 6430 Sunset Blvd, Los Angeles, CA 90027-6062 | 2006-10-02 |
| 1467472621 | Lane Frances Donnelly | Radiology | 300 Pasteur Dr # H1307, Stanford, CA 94305-2200 | 2006-07-20 |
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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.