THE CHILD AND FAMILY CONNECTION (NPI# 1518526607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518526607 |
| Entity Type | Organization |
| Organization Name | THE CHILD AND FAMILY CONNECTION |
| Practice Address |
1401 Avocado Ave Ste 709 Newport Beach CA 92660-8714 |
| Mailing Address |
1953 San Bruno Newport Beach CA 92660-4536 |
| Practice Telephone | 8144410421 |
| Mailing Telephone | 9492366155 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Authorized Official Name | HAYLEY PEDERSEN (PRESIDENT/CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 9492366155 |
| Authorized Official Credential | MS, PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dr. Hayley Pedersen | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2081 Business Center Dr Ste 109, Irvine, CA 926121185 | 9492366155 |
| Street Address |
1401 AVOCADO AVE STE 709 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-8714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093857021 | Richa Lal | Pediatrics | 1401 Avocado Ave Ste 709, Newport Beach, CA 92660 | 2007-02-13 |
| 1902411739 | Jessica Nicole Dewitt | Nurse Practitioner | 1401 Avocado Ave Ste 709, Newport Beach, CA 92660-8714 | 2020-09-09 |
| 1811370505 | Matthew Harris | Pediatrics | 1401 Avocado Ave Ste 709, Newport Beach, CA 92660-8714 | 2015-06-30 |
| 1992116081 | Gabrielle Bangs | Pediatrics | 1401 Avocado Ave Ste 709, Newport Beach, CA 92660-8714 | 2014-05-12 |
| 1790105252 | Kindra Landrith | Pediatrics | 1401 Avocado Ave Ste 709, Newport Beach, CA 92660-8714 | 2014-04-23 |
| 1295160182 | Kimberly Isberto | Nurse Practitioner | 1401 Avocado Ave Ste 709, Newport Beach, CA 92660 | 2013-09-10 |
| 1720429152 | Jennifer Maccio | Nurse Practitioner | 1401 Avocado Ave Ste 709, Newport Beach, CA 92660 | 2013-07-15 |
| 1932441359 | Rebecca Marie Allen | Pediatrics | 1401 Avocado Ave Ste 709, Newport Beach, CA 92660-8714 | 2013-03-24 |
| 1831456870 | Laura Gordon | Pediatrics | 1401 Avocado Ave Ste 709, Newport Beach, CA 92660 | 2012-04-16 |
| 1871882704 | Sandra Vandoren Pertz | Pediatrics | 1401 Avocado Ave Ste 709, Newport Beach, CA 92660-8714 | 2011-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295376689 | Performance Boost Center, LLC | Clinic/Center | 1501 Superior Ave Ste 304, Newport Beach, CA 92663-3641 | 2019-10-07 |
| 1629541701 | Hannah Acupuncture Clinic Inc | Clinic/Center | 408 Westminster Ave Ste 7, Newport Beach, CA 92663-4238 | 2019-01-10 |
| 1992948731 | Sungil Manual Medicine and Acupuncture Inc | Clinic/Center | 20391 Bayview Ave, Newport Beach, CA 92660-0709 | 2009-04-09 |
| 1386802627 | Judy Tamar Gillard | Clinic/Center | 2515 Eastbluff Dr, Newport Beach, CA 92660-3504 | 2008-05-22 |
| 1912101015 | Julie Ralls, M.d., Inc. | Clinic/Center | 2011 Westcliff Dr Ste 4, Newport Beach, CA 92660-5508 | 2007-06-13 |
| 1922015072 | Harbor Pediatric Medical Group | Clinic/Center | 601 Dover Dr Ste 7, Newport Beach, CA 92663-5721 | 2006-08-02 |
| 1548819071 | Care Connectors Affiliated Physicians Inc | Clinic/Center | 520 Superior Ave, Suite 250, Newport Beach, CA 92663 | 2019-09-07 |
| 1760922413 | Bettina Limjoco Mdpc | Clinic/Center | 20072 Sw Birch St, Suite 170, Newport Beach, CA 92660-0794 | 2017-02-28 |
| 1366831174 | Pacific Center for Plastic Surgery | Clinic/Center | 3991 Macarthur Blvd, Suite 320, Newport Beach, CA 92660-3009 | 2015-01-16 |
| 1538561238 | Precise Care | Clinic/Center | 4425 Jamboree Rd, Suite 120, Newport Beach, CA 92660-3024 | 2014-09-24 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
Please comment or provide details below to improve the information on THE CHILD AND FAMILY CONNECTION.
| 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.