UC IRVINE MEDICAL CENTER - FOR OC KIDS (NPI# 1437494606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437494606 |
| Entity Type | Organization |
| Organization Name | UC IRVINE MEDICAL CENTER - FOR OC KIDS |
| Practice Address |
1915 W Orangewood Ave Suite 200 Orange CA 92868-2047 |
| Practice Telephone | 7149396118 |
| Practice Fax Number | 7149397569 |
| Mailing Telephone | 7149396118 |
| Mailing Fax Number | 7149397569 |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |
| Authorized Official Name | DR. JOHN A HEYDT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7144562986 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF CALIFORNIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
060000148 | CA | Ambulatory Health Care Facilities |
| Street Address |
1915 W ORANGEWOOD AVE SUITE 200 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-2047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255763546 | Michelle Linne Wahlquist | Speech-Language Pathologist | 1915 W Orangewood Ave, Orange, CA 92868-2045 | 2013-08-08 |
| 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 | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649716770 | County of Orange | Clinic/Center | 2200 W Orangewood Ave, Suite 212, Orange, CA 92868-1945 | 2017-01-12 |
| 1427393610 | Uc Irvine Medical Center | Clinic/Center | 1915 W. Orangewood Ave., Suite 200, Orange, CA 92868-2047 | 2012-11-29 |
| 1598389371 | County of Orange | Clinic/Center | 4000 W Metropolitan Dr Ste 402, Orange, CA 92868-3504 | 2020-06-08 |
| 1477193910 | County of Orange | Clinic/Center | 4000 W Metropolitan Dr Ste 403, Orange, CA 92868-3504 | 2020-01-13 |
| 1265927677 | New Alternatives, Incorporated | Clinic/Center | 238 S Flower St, Orange, CA 92868-3415 | 2018-06-27 |
| 1124405659 | County of Orange | Clinic/Center | 4000 W Metropolitan Dr # 401, Orange, CA 92868-3504 | 2015-05-05 |
| 1912025628 | County of Orange | Clinic/Center | 401 The City Dr S, Orange, CA 92868-3303 | 2007-03-27 |
| 1497887384 | County of Orange | Clinic/Center | 301 The City Dr S, 2nd Floor, Orange, CA 92868-3205 | 2007-03-09 |
| 1437296837 | County of Orange | Clinic/Center | 301 The City Dr S, 2nd Floor, Orange, CA 92868-3205 | 2007-02-01 |
| 1770620635 | County of Orange | Clinic/Center | 800 N Eckhoff St, 4th Floor, Orange, CA 92868-1008 | 2007-01-31 |
| 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.