KIDS CARE PEDIATRICS MEDICAL GROUP, INC. (NPI# 1881801835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881801835 |
Entity Type | Organization |
Organization Name | KIDS CARE PEDIATRICS MEDICAL GROUP, INC. |
Practice Address |
1164 N Euclid St Anaheim CA 92801-1900 |
Practice Telephone | 7147780613 |
Mailing Telephone | 7147780613 |
Enumeration Date | 2007-05-17 |
Last Update Date | 2020-08-22 |
Authorized Official Name | ROSEMARY A BRADFORD VI (HEALTHCARE ADMINSTRATOR) |
Authorized Official Telephone | 7147780623 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080H0002X |
Pediatrics Specialization: Hospice and Palliative Medicine |
A052752 | CA | Allopathic & Osteopathic Physicians |
Street Address |
1164 N EUCLID ST |
City | ANAHEIM |
State | CA |
Zip Code | 92801-1900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104843960 | Antonio Mejia Gancayco | Specialist | 1164 N Euclid St, Anaheim, CA 92801-1900 | 2006-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376178996 | Megalink Staffing Services Corp. | Non-emergency Medical Transport (VAN) | 780 N. Euclid St., Suite 207, Anaheim, CA 92801 | 2020-03-04 |
1669988630 | Munoz Urgent Care Inc. | Clinic/Center | 1741 W Romneya Dr., Suite A, Anaheim, CA 92801 | 2017-12-28 |
1922523257 | Enrique Esparza Jr. | Peer Specialist | 501 North Brookhurst Street, Anahiem, CA 92801 | 2017-08-08 |
1336689405 | Lan P. Tran | Pharmacist | 2308 W Huntington Ave, Anaheim, CA 92801 | 2017-03-08 |
1982065447 | Giselle Magdaleno | Marriage & Family Therapist | 505 N Euclid St #300, Anaheim, CA 92801 | 2016-03-11 |
1346605433 | Esther Chong | Nurse Practitioner | 710 N. Euclid St., 400, Anaheim, CA 92801 | 2015-12-16 |
1629441183 | Caremore Health Plan | Nurse Practitioner | 1182 N. Euclid Street, Anaheim, CA 92801 | 2015-11-05 |
1205208451 | Uyen Diem Ngo | Pharmacist | 1188 N. Euclid St., Anaheim, CA 92801 | 2015-10-28 |
1962873729 | Herb and Acu | Acupuncturist | 1737 W. Romneya Dr., Anaheim, CA 92801 | 2015-10-19 |
1437535721 | Yessenia Alvarado | Marriage & Family Therapist | 505 N. Euclid Street, Suite 300, Anaheim, CA 92801 | 2015-08-10 |
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Taxonomy Code | 2080H0002X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Hospice and Palliative Medicine |
A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124239835 | Sandra Kathleen Smith-lang | Pediatrics | 578 31st St, Manhattan Beach, CA 90266-3404 | 2007-05-24 |
1962615351 | Sylvia Helen Micik | Pediatrics | 6274 Calle Veracruz, La Jolla, CA 92037-6918 | 2007-05-08 |
1669684122 | Lawrence A.r. Ross | Pediatrics | 1620 La Pradera Dr, Campbell, CA 95008-1533 | 2007-05-04 |
1619198447 | Eleanor Man-ying Chang | Pediatrics | 1629 W. 17th Street, Suite B, Santa Ana, CA 92706 | 2007-05-01 |
1306067012 | Rajul Parikh | Pediatrics | 73 W March Ln Ste A, Stockton, CA 95207-5726 | 2007-05-01 |
1366592982 | H Joseph Khan, M.d., Inc. | Pediatrics | 1629 W 17th St, Suite A & B, Santa Ana, CA 92706-3335 | 2007-01-12 |
1710037346 | H. Joseph Khan, M.d., Inc. | Pediatrics | 12881 Chapman Ave, Garden Grove, CA 92840-4100 | 2007-01-12 |
1376754721 | Mary Anderson Deutsche | Pediatrics | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2007-05-25 |
1962615484 | Sara Berhanu | Pediatrics | 162 1st St, Naval Ambulatory Clinic, Port Hueneme, CA 93043-4316 | 2007-05-08 |
1508088840 | Shahira S Abdel-malek,md,inc. | Pediatrics | 3100 E Florence Ave, Suite 1, Huntington Park, CA 90255-5848 | 2007-05-03 |
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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.