NORCAL PEDIATRIC SURGICAL PARTNERS


Address: 21c Orinda Way # 276, Orinda, CA 94563-2534
Phone: 5108621862

NORCAL PEDIATRIC SURGICAL PARTNERS (NPI# 1629560149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629560149
Entity Type Organization
Organization Name NORCAL PEDIATRIC SURGICAL PARTNERS
Practice Address 21c Orinda Way # 276
Orinda
CA 94563-2534
Practice Telephone 5108621862
Mailing Telephone 5108621862
Enumeration Date 2018-05-31
Last Update Date 2018-05-31
Authorized Official Name DR. THOMAS HUI (PARTNER)
Authorized Official Telephone 5108621862
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2086S0120X Surgery
Specialization: Pediatric Surgery
A676570 CA Allopathic & Osteopathic Physicians
Y 2086S0120X Surgery
Specialization: Pediatric Surgery
A62576 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA A676570 05
CA A62576 05

Office Location

Street Address 21C ORINDA WAY # 276
City ORINDA
State CA
Zip Code 94563-2534

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1730618026 Grace Elise Shandalov Occupational Therapist 24 Zander Drive, Orinda, CA 94563 2017-06-08
1346698735 Janet Alexander Occupational Therapist 60 Don Gabriel Way, Orinda, CA 94563 2016-05-26
1750741021 David Charles Hansen Radiology 543 Tahos Road, Orinda, CA 94563 2016-03-01
1063761609 Melissa Bailey Dentist 15 Altarinda Rd., Suite 104a, Orinda, CA 94563 2012-08-29
1134493927 Wu Hao Tu Internal Medicine 53 Brookside Rd, Orinda, CA 94563 2012-02-27
1134383243 Marianna Eraklis Pediatrics One Camino Sobrante, Suite 208, Orinda, CA 94563 2008-07-17
1245441351 Laro Virginia Thompson Psychologist 23 Altrarinda, Suite 214, Orinda, CA 94563 2007-05-24
1033329404 Lisa B Kollin Occupational Therapy Assistant 8 Great Oak Circle, Orinda, CA 94563 2007-05-23
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Taxonomy Information

Taxonomy Code 2086S0120X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Pediatric Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598137291 Pasadena Pediatric Surgery, Inc. Surgery 625 S Fair Oaks Ave Ste 286, Pasadena, CA 91105-2613 2015-10-21
1205121704 Bindi Naik-mathuria Surgery 7512 Hampton Ave, West Hollywood, CA 90046-5503 2011-06-13
1295053437 Ashley Walther Surgery 4650 W Sunset Blvd # Ms 100, Los Angeles, CA 90027 2010-05-12
1881918407 R V Daluvoy Md Inc Surgery 908 East Main St, Barstow, CA 92311-2406 2010-03-25
1215162607 James Pierce Surgery 9300 Valley Childrens Pl # Ge01, Madera, CA 93636-8761 2009-05-28
1790921641 Clinica Medica Del Valle, Inc. Surgery 52-565 Harrison Street, Suite 104, Coachella, CA 92236-1534 2008-12-24
1225298870 Payam Saadai Surgery 2221 Stockton Blvd, 3rd Floor, Uc Davis Medical Center, Sacramento, CA 95817-1418 2008-06-16
1396916524 Erin Brown Surgery 2425 Stockton Blvd Shriners Hospital for Children, Sacramento, CA 95817-2215 2008-03-15
1124203872 Children's Hospital Los Angeles Medical Group Surgery 4650 W Sunset Blvd # 72, Los Angeles, CA 90027-6062 2007-12-31
1699981688 Bruce Arthur Hanson Surgery 915 Wigeon Way, Arroyo Grande, CA 93420-5555 2007-05-15
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Competitor

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City ORINDA
Zip Code 94563

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Dataset Information

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.

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