NEWPORT CHILDREN MEDICAL GROUP AT MISSION (NPI# 1154765709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154765709 |
| Entity Type | Organization |
| Organization Name | NEWPORT CHILDREN MEDICAL GROUP AT MISSION |
| Practice Address |
26800 Crown Valley Pkwy Suite 460 Mission Viejo CA 92691-6384 |
| Practice Telephone | 9493648700 |
| Practice Fax Number | 9493651011 |
| Mailing Telephone | 9493648700 |
| Mailing Fax Number | 9493651011 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-04-25 |
| Authorized Official Name | JOHANNA RODRIGUEZ-TOLEDO (SECRETARY) |
| Authorized Official Telephone | 9493648700 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
A47947 | CA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | A109148 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
26800 CROWN VALLEY PKWY SUITE 460 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-6384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519559 | Kathleen Mary Pollock | Specialist | 26800 Crown Valley Pkwy, Suite 525, Mission Viejo, CA 92691-6384 | 2005-06-21 |
| 1295262806 | Sueann Ingersoll | Nurse Practitioner | 26800 Crown Valley Pkwy, Mission Viejo, CA 92691-6384 | 2017-05-12 |
| 1609308576 | Artisan Foot and Ankle Specialist | Podiatrist | 26800 Crown Valley Pkwy, Ste 420, Mission Viejo, CA 92691-6384 | 2017-03-30 |
| 1023493459 | Hadi Mansoury Md Inc | Internal Medicine | 26800 Crown Valley Pkwy, Suite 475, Mission Viejo, CA 92691-6384 | 2015-07-28 |
| 1518301621 | Nina C Swadener | Internal Medicine | 26800 Crown Valley Pkwy, Mission Viejo, CA 92691-6384 | 2013-04-19 |
| 1386999050 | Shohreh Sameni | Hospitalist | 26800 Crown Valley Pkwy, Suite 315, Mission Viejo, CA 92691 | 2012-07-19 |
| 1598024622 | Leila Ahmadi Od, Apc, An Optometric Corporation | Optometrist | 26800 Crown Valley Pkwy, Suite #308, Mission Viejo, CA 92691-6384 | 2012-05-09 |
| 1770858441 | Mission Internal Medical Froup, Inc. | Nurse Practitioner | 26800 Crown Valley Pkwy, Suite 275, Mission Viejo, CA 92691-6384 | 2012-03-14 |
| 1205101987 | Kathleen Marie Furlong | Nurse Practitioner | 26800 Crown Valley Pkwy, Suite 275, Mission Viejo, CA 92691-6384 | 2012-03-14 |
| 1972877926 | Maryam Meschi | Dentist | 26800 Crown Valley Pkwy, Suite 410, Mission Viejo, CA 92691-6384 | 2012-03-07 |
| 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 | 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 |
|---|---|---|---|---|
| 1376885947 | Joseph Louis Lebovitz | Pediatrics | 21484 Medina, Mission Viejo, CA 92692-4906 | 2013-03-21 |
| 1962713636 | Teri Klein Christy | Pediatrics | 23021 Bouquet Cyn, Mission Viejo, CA 92692-1672 | 2010-06-28 |
| 1104066406 | Orange County Children's Medical Group, Inc. | Pediatrics | 26691 Plaza Ste 120a, Mission Viejo, CA 92691-6347 | 2009-02-26 |
| 1811188170 | Mission Viejo Office | Pediatrics | 27800 Medical Center Rd Ste 138, Mission Viejo, CA 92691-6407 | 2007-08-01 |
| 1306913298 | Krista Braun-young | Pediatrics | 26161 La Paz Rd Ste 115, Mission Viejo, CA 92691-5334 | 2006-11-29 |
| 1992892293 | Suzanne Lynn Mcnulty | Pediatrics | 26161 La Paz Rd, Suite 115, Mission Viejo, CA 92691-5317 | 2006-10-06 |
| 1164464657 | Jennifer Brooke Grumet | Pediatrics | 23781 Maquina, Mission Viejo, CA 92691-2716 | 2006-06-11 |
| 1013966670 | Kids Doc of Southern California Medical Group, Inc. | Pediatrics | 27800 Medical Center Rd Suite 204, Mission Viejo, CA 92691 | 2006-05-09 |
| 1063842987 | Faculty Physicians and Surgeons of Llusm | Pediatrics | 27871 Medical Center Rd, Ste 140, Mission Viejo, CA 92691 | 2013-11-13 |
| 1316294457 | Christopher B Lin, Inc | Pediatrics | 27725 Santa Margarita Pkwy, Suite # 225, Mission Viejo, CA 92691-6704 | 2012-08-08 |
| Find all providers in MISSION VIEJO | ||||
| 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.