MISSION PEDIATRIC MED CL (NPI# 1124390679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124390679 |
| Entity Type | Organization |
| Organization Name | MISSION PEDIATRIC MED CL |
| Practice Address |
27800 Medical Center Rd Ste 116 Mission Viejo CA 92691-6410 |
| Practice Telephone | 9493646040 |
| Practice Fax Number | 9493640502 |
| Mailing Telephone | 9493646040 |
| Mailing Fax Number | 9493640502 |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2019-04-26 |
| Authorized Official Name | DUKE D KIM (PRESIDENT) |
| Authorized Official Telephone | 9493646040 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1780690636 | 01 |
| Street Address |
27800 MEDICAL CENTER RD STE 116 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-6410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407849284 | Minch K Fong | Internal Medicine | 27800 Medical Center Rd, #304, Mission Viejo, CA 92691-6410 | 2005-08-26 |
| 1629478060 | Jenine S Esmail | Optometrist | 27800 Medical Center Rd, Suite 130, Building 2, Mission Viejo, CA 92691-6410 | 2014-09-03 |
| 1295142834 | Aimee Lynn Noll | Optometrist | 27800 Medical Center Rd, Suite 130, Mission Viejo, CA 92691-6410 | 2014-07-15 |
| 1346660610 | Advantage Healthcare Services | Pharmacist | 27800 Medical Center Rd, #99, Mission Viejo, CA 92691-6410 | 2014-04-24 |
| 1447677323 | Maureen Fakinos | Nurse Practitioner | 27800 Medical Center Rd, Ste 260, Mission Viejo, CA 92691-6410 | 2014-03-28 |
| 1083058986 | Maysam Magid Salehpour | Dentist | 27800 Medical Center Rd, Suite 208, Mission Viejo, CA 92691-6410 | 2013-04-22 |
| 1477890242 | Lisa Renee Bretches | Nurse Practitioner | 27800 Medical Center Rd, Suite 300, Mission Viejo, CA 92691-6410 | 2013-01-13 |
| 1689948234 | Laurence M Fakinos, Md Inc | Obstetrics & Gynecology | 27800 Medical Center Rd, Suite 260, Mission Viejo, CA 92691-6410 | 2012-02-29 |
| 1558639815 | Gubbi T Mruthyunjaya | Clinic/Center | 27800 Medical Center Rd, Suite 300, Mission Viejo, CA 92691-6049 | 2011-12-01 |
| 1083992994 | Andrew Chang | Dentist | 27800 Medical Center Rd, Suite 332, Mission Viejo, CA 92691-6410 | 2011-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235451360 | Janet Bonnie Kim | Allergy & Immunology | 27800 Medical Center Road, #116, Mission Viejo, CA 92691 | 2010-02-16 |
| 1326252230 | Faith Ray Huang | Allergy & Immunology | 27800 Medical Center Road, Suite 244, Mission Viejo, CA 92691-6408 | 2007-05-09 |
| 1114007697 | Janet B. Kim, M.d., Inc. | Allergy & Immunology | 27800 Medical Center Road, Suite 116, Mission Viejo, CA 92691 | 2006-10-17 |
| 1588774954 | Geeta Venkat | Allergy & Immunology | 26726 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-8003 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558341 | Los Angeles Food Allergy Institute, Inc. | Allergy & Immunology | 800 S Central Ave Ste 303, Glendale, CA 91204-4388 | 2020-04-29 |
| 1518587815 | Aire Medical of Glendale, Inc. | Allergy & Immunology | 1808 Verdugo Blvd Ste 116, Glendale, CA 91208-1455 | 2020-04-16 |
| 1598315467 | Dean T. Chiang, M.d. Inc | Allergy & Immunology | 3440 Lomita Blvd Ste 228, Torrance, CA 90505-4870 | 2019-09-12 |
| 1316416118 | Pediatric Specialty Partners Inc. | Allergy & Immunology | 8929 University Center Ln Ste 208, San Diego, CA 92122-1054 | 2018-11-21 |
| 1083133649 | Allergy Asthma Clinic Burlingame, Incorporated | Allergy & Immunology | 1828 El Camino Real Ste 703, Burlingame, CA 94010-3122 | 2017-09-14 |
| 1609397421 | Utkucan Acar | Allergy & Immunology | 10833 Le Conte Ave Rm 12-311, Los Angeles, CA 90095-3075 | 2017-06-30 |
| 1992247134 | Macey Dennis | Allergy & Immunology | 549 Southgate Rd, Sacramento, CA 95815-3714 | 2016-11-04 |
| 1093166795 | Terrie Susie Ahn | Allergy & Immunology | 10833 Le Conte Ave # 12-311, Los Angeles, CA 90095-3075 | 2016-06-24 |
| 1700247897 | Marie A. Di Pasquale | Allergy & Immunology | 705 Lincoln Avenue, Palo Alto, CA 94301 | 2016-03-16 |
| 1730559600 | Benjamin Kramer | Allergy & Immunology | 750 Van Ness Ave, Ph1, San Francisco, CA 94102-6321 | 2015-10-04 |
| Find all providers with the same taxonomy | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
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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.