SOUTHERN ORANGE COUNTY PEDIATRIC ASSOCIATES, INC. (NPI# 1881643021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881643021 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ORANGE COUNTY PEDIATRIC ASSOCIATES, INC. |
| Practice Address |
23321 El Toro Rd Suites F&g Lake Forest CA 92630-4825 |
| Practice Telephone | 9497706789 |
| Practice Fax Number | 9498299125 |
| Mailing Telephone | 9497706789 |
| Mailing Fax Number | 9498299125 |
| Enumeration Date | 2006-05-07 |
| Last Update Date | 2013-01-18 |
| Authorized Official Name | MELANIE JACKSON (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9497706789 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | CA | Allopathic & Osteopathic Physicians |
| Street Address |
23321 EL TORO RD SUITES F&G |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477009454 | Rex Chuang, Dds, Inc. | Dentist | 23321 El Toro Rd, Suite C, Lake Forest, CA 92630-4825 | 2016-08-30 |
| 1497009831 | Keith H Tam Dds Inc | Dentist | 23321 El Toro Rd, Suite C, Lake Forest, CA 92630 | 2012-11-07 |
| 1205103652 | Jennifer Blake Eli | Dentist | 23321 El Toro Rd, Sutie D, Lake Forest, CA 92630-4825 | 2011-11-29 |
| 1982916375 | Katherine Danielle Williamson | Pediatrics | 23321 El Toro Rd, Suite F, Lake Forest, CA 92630-4825 | 2010-07-14 |
| 1215250600 | Michael Bissiri | Dentist | 23321 El Toro Rd, Suite B, Lake Forest, CA 92630-4825 | 2010-03-12 |
| 1164694014 | Cuong Ly Md, Inc | Internal Medicine | 23321 El Toro Rd, Suite H, Lake Forest, CA 92630-4825 | 2008-04-01 |
| 1245416239 | Anneke Sager | Nurse Practitioner | 23321 El Toro Rd, Suites F&g, Lake Forest, CA 92630-4825 | 2008-01-21 |
| 1558547547 | Lisa Walpert | Nurse Practitioner | 23321 El Toro Rd, Suites F&g, Lake Forest, CA 92630-4825 | 2008-01-21 |
| 1568589729 | William Young Gregg | Dentist | 23321 El Toro Rd, Suite D, Lake Forest, CA 92630-4825 | 2007-03-23 |
| 1891892204 | Regina Brown | Pediatrics | 23321 El Toro Rd, Suites F&g, Lake Forest, CA 92630-4825 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1801494364 | Mebe Illinois | Pediatrics | 825 S Waukegan Rd Ste A8, Lake Forest, IL 60045-2665 | 2020-10-15 |
| 1972880839 | Nicole Krein | Pediatrics | 815 Valley Road, Lake Forest, IL 60045 | 2011-11-07 |
| 1316032972 | Eric Howard Ball | Pediatrics | 23321 El Toro Road, Suites F&g, Lake Forest, CA 92630 | 2006-10-03 |
| 1578533600 | Laurie C Hochberg | Pediatrics | 900 N. Westmoreland, Suite 217, Lake Forest, IL 60045 | 2006-01-23 |
| 1366437352 | Sheri Ross | Pediatrics | 900 N Westmoreland Rd, 106, Lake Forest, IL 60045-1674 | 2005-09-15 |
| 1477915759 | Stephanie Berry | Pediatrics | 1000 N Westmoreland Rd, Lake Forest, IL 60045 | 2016-03-24 |
| 1982958013 | Pediatrust, L.L.C. | Pediatrics | 900 N Westmoreland Rd, Suite 217, Lake Forest, IL 60045-1674 | 2012-10-26 |
| 1982916375 | Katherine Danielle Williamson | Pediatrics | 23321 El Toro Rd, Suite F, Lake Forest, CA 92630-4825 | 2010-07-14 |
| 1003011628 | Lake Shore Pediatrics, Ltd | Pediatrics | 900 N Westmoreland Rd, Suite 106, Lake Forest, IL 60045-1674 | 2007-06-15 |
| 1962616656 | James Leon Kay | Pediatrics | 24432 Muirlands Blvd, Suite 111, Lake Forest, CA 92630-3939 | 2007-05-10 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
Please comment or provide details below to improve the information on SOUTHERN ORANGE COUNTY PEDIATRIC ASSOCIATES, INC..
| 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.