INTEGRATED CRITICAL CARE AND PULMONARY SPECIALISTS INC. (NPI# 1902313919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902313919 |
| Entity Type | Organization |
| Organization Name | INTEGRATED CRITICAL CARE AND PULMONARY SPECIALISTS INC. |
| Practice Address |
1100 W Stewart Dr Orange CA 92868-3849 |
| Mailing Address |
24422 Avenida De La Carlota Ste 275 Laguna Hills CA 92653-3669 |
| Practice Telephone | 9493543672 |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2019-10-03 |
| Authorized Official Name | LISA KENEFICK FAVOR (ACCOUNTANT) |
| Authorized Official Telephone | 9498298299 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1100 W STEWART DR |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255331385 | Lianjie Du | Psychiatry & Neurology | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2005-07-29 |
| 1861025884 | Quentin Daniel Germann | Physician Assistant | 1100 W Stewart Dr, Orange, CA 92868-3891 | 2020-02-18 |
| 1588297600 | Serena Marilyn Mclean | Physician Assistant | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2020-02-17 |
| 1932731841 | Lerrena Deana Rosales | Registered Nurse | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2020-02-08 |
| 1366091035 | Elaine F Cervantes | Nurse Practitioner | 1100 W Stewart Dr, Orange, CA 92868 | 2019-09-05 |
| 1851944821 | Joyce Chung | Nurse Practitioner | 1100 W Stewart Dr, Orange, CA 92868-3891 | 2019-07-18 |
| 1114482635 | Critical Care Psychological Specialists Inc | Psychologist | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2019-02-08 |
| 1003398538 | Sarah Stephens | Nurse Practitioner | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2018-08-31 |
| 1245738558 | Morgan Pierce | Nurse Practitioner | 1100 W Stewart Dr, Orange, CA 92868-3891 | 2018-02-01 |
| 1528566122 | Kyle Daniels | Physician Assistant | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2018-01-29 |
| 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 | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457665564 | Andy D. Tran, M.d., Inc | Internal Medicine | 6434 E Hightree Ln, Orange, CA 92867-2448 | 2010-07-30 |
| 1558482075 | Jasdeep Sidana | Internal Medicine | 521 Boston Post Road, Orange, CT 06477 | 2007-04-02 |
| 1164469532 | Stephen Michael Seink | Internal Medicine | 2860 N Santiago Blvd, Ste 110, Orange, CA 92867-1722 | 2006-06-02 |
| 1457329674 | Joseph C Preston | Internal Medicine | 1010 W La Veta Ave Ste 750, Orange, CA 92868-4312 | 2006-03-14 |
| 1538166780 | Steven B. Leven | Internal Medicine | 333 City Blvd W, Suite 400, Orange, CA 92868-2903 | 2005-07-01 |
| 1164624839 | Cristobal Barrios | Internal Medicine | 101 The City Dr S, Orange, CA 92868-3201 | 2007-06-04 |
| 1427108851 | Mark Allen Rosen | Internal Medicine | 101 The City Dr S, Bldg. 53 Room 119, Rt. 81, Orange, CA 92868-3201 | 2007-01-10 |
| 1477633626 | James Henry Roum | Internal Medicine | 1010 W La Veta Ave Ste 750, Orange, CA 92868-4312 | 2006-10-16 |
| 1518983899 | Amir K. Ghiassi | Internal Medicine | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2006-07-13 |
| 1881623460 | Septimiu Murgu | Internal Medicine | 101 The City Dr S, Orange, CA 92868-3201 | 2006-07-03 |
| Find all providers in ORANGE | ||||
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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.