PACIFIC PEDIATRIC THERAPY (NPI# 1205027869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205027869 |
| Entity Type | Organization |
| Organization Name | PACIFIC PEDIATRIC THERAPY |
| Practice Address |
27725 Santa Margarita Pkwy Suite 221 Mission Viejo CA 92691-6704 |
| Practice Telephone | 9499511234 |
| Mailing Telephone | 9499511234 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |
| Authorized Official Name | MR. JEFFREY DAVID HEBERT (COO / OWNER) |
| Authorized Official Telephone | 9499511234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
27725 SANTA MARGARITA PKWY SUITE 221 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-6704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144213729 | Julie Ann Malley | Chiropractor | 27725 Santa Margarita Pkwy, Suite 201, Mission Viejo, CA 92691-6704 | 2005-08-29 |
| 1720538812 | Christopher Lin M.d. Inc. | Clinic/Center | 27725 Santa Margarita Pkwy, Suite 225, Mission Viejo, CA 92691-6704 | 2016-10-12 |
| 1043694391 | Robert A Milner Dds Dental Corporation | Dentist | 27725 Santa Margarita Pkwy, Suite 120, Mission Viejo, CA 92691-6704 | 2015-07-16 |
| 1619316403 | Michael Kenneth Clark | Dentist | 27725 Santa Margarita Pkwy, Suite 130, Mission Viejo, CA 92691-6704 | 2013-06-14 |
| 1316294457 | Christopher B Lin, Inc | Pediatrics | 27725 Santa Margarita Pkwy, Suite # 225, Mission Viejo, CA 92691-6704 | 2012-08-08 |
| 1518233402 | Paul H. Turek Dc Chiropractic Inc | Prosthetic/Orthotic Supplier | 27725 Santa Margarita Pkwy, Suite 100, Mission Viejo, CA 92691-6704 | 2012-03-26 |
| 1245493105 | Christine Tuong Linh Hoang | Dentist | 27725 Santa Margarita Pkwy, Suite 270, Mission Viejo, CA 92691 | 2008-07-09 |
| 1194914176 | J. Margo Jaffe Orr, M.d., Inc. | Internal Medicine | 27725 Santa Margarita Pkwy, Suite 220, Mission Viejo, CA 92691-6707 | 2007-10-16 |
| 1801087218 | Alamitos Dermatological Medical Clinic A Professional Corp | Specialist | 27725 Santa Margarita Pkwy, Suite 110, Mission Viejo, CA 92691-6704 | 2007-08-09 |
| 1407055049 | Jeromy Dean Ratzlaff | Chiropractor | 27725 Santa Margarita Pkwy, Suite 120, Mission Viejo, CA 92691-6704 | 2007-07-13 |
| 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 | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778525 | Firefly Center: Therapy Services for Children | Clinic/Center | 1601 Old Bayshore Hwy Ste 221, Burlingame, CA 94010-1508 | 2020-10-21 |
| 1245718287 | Rapha Rehabilities | Clinic/Center | 4959 Palo Verde St Ste 110b, Montclair, CA 91763-2303 | 2018-08-01 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1407374333 | Social Skills Training and Resources | Clinic/Center | 157 Grand Ave Ste 205, Pacific Grove, CA 93950-2752 | 2017-08-30 |
| 1588047492 | Autism Center of Northern California | Clinic/Center | 870 Market St Ste 472-476, San Francisco, CA 94102-3001 | 2015-07-09 |
| 1962806166 | Rady Childrens Hospital-san Diego | Clinic/Center | 3665 Kearny Villa Rd Ste 440, San Diego, CA 92123-1953 | 2014-10-17 |
| 1356683015 | Speechcom Incorporated | Clinic/Center | 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 | 2013-03-20 |
| 1619263266 | Russo, Fleck & Associates | Clinic/Center | 960 W Town and Country Rd, Orange, CA 92868-4714 | 2011-06-22 |
| 1316252000 | Pediatric Minds Medical Center | Clinic/Center | 3524 Torrance Blvd Ste 103, Torrance, CA 90503-4821 | 2010-08-18 |
| 1700117082 | Blackwell Homes | Clinic/Center | 1646 S Wright Rd, Santa Rosa, CA 95407-7318 | 2010-01-26 |
| 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.