KIDS CRITICAL CARE MEDICAL GROUP INC (NPI# 1528144763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528144763 |
| Entity Type | Organization |
| Organization Name | KIDS CRITICAL CARE MEDICAL GROUP INC |
| Other Organization Name | KIDS CARE MED GROUP INC |
| Practice Address |
1111 West La Palma Ave Anaheim Memorial Medical Center Anaheim CA 92801-2881 |
| Mailing Address |
Po Box 2217 Fullerton CA 92837 |
| Practice Telephone | 7149995144 |
| Practice Fax Number | 7149995143 |
| Mailing Telephone | 7149995144 |
| Mailing Fax Number | 7149995143 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SANDY S SHAW (PRESIDENT) |
| Authorized Official Telephone | 7149995144 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
047879 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | GR0046500 | 01 |
| Other Name | Type Code |
|---|---|
| Kids Care Med Group Inc | Former Legal Business Name - Organization |
| Street Address |
1111 WEST LA PALMA AVE ANAHEIM MEMORIAL MEDICAL CENTER |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92801-2881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518026814 | John Williams Lee | Radiology | 1111 West La Palma Ave, Anaheim, CA 92801-2804 | 2006-12-06 |
| 1427117720 | Michael Ping Wang | Radiology | 1111 West La Palma Ave, Anaheim, CA 92801-2804 | 2006-12-06 |
| 1225105745 | William Benjamin Birnbaum | Radiology | 1111 West La Palma Ave, Anaheim, CA 92801-2804 | 2006-11-29 |
| 1366519886 | Roy Loil Dorman Jr. | Radiology | 1111 West La Palma Ave, Anaheim, CA 92801-2804 | 2006-11-29 |
| 1912074402 | Lina Duyen Khanh Le | Radiology | 1111 West La Palma Ave, Anaheim, CA 92801-2804 | 2006-11-29 |
| 1548337033 | Neil Howard Siegel | Radiology | 1111 West La Palma Ave, Anaheim, CA 92801-2804 | 2006-11-29 |
| 1225105729 | Golden West Radiology Medical Group | Radiology | 1111 West La Palma Ave, Anaheim, CA 92801-2804 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376178996 | Megalink Staffing Services Corp. | Non-emergency Medical Transport (VAN) | 780 N. Euclid St., Suite 207, Anaheim, CA 92801 | 2020-03-04 |
| 1669988630 | Munoz Urgent Care Inc. | Clinic/Center | 1741 W Romneya Dr., Suite A, Anaheim, CA 92801 | 2017-12-28 |
| 1922523257 | Enrique Esparza Jr. | Peer Specialist | 501 North Brookhurst Street, Anahiem, CA 92801 | 2017-08-08 |
| 1336689405 | Lan P. Tran | Pharmacist | 2308 W Huntington Ave, Anaheim, CA 92801 | 2017-03-08 |
| 1982065447 | Giselle Magdaleno | Marriage & Family Therapist | 505 N Euclid St #300, Anaheim, CA 92801 | 2016-03-11 |
| 1346605433 | Esther Chong | Nurse Practitioner | 710 N. Euclid St., 400, Anaheim, CA 92801 | 2015-12-16 |
| 1629441183 | Caremore Health Plan | Nurse Practitioner | 1182 N. Euclid Street, Anaheim, CA 92801 | 2015-11-05 |
| 1205208451 | Uyen Diem Ngo | Pharmacist | 1188 N. Euclid St., Anaheim, CA 92801 | 2015-10-28 |
| 1962873729 | Herb and Acu | Acupuncturist | 1737 W. Romneya Dr., Anaheim, CA 92801 | 2015-10-19 |
| 1437535721 | Yessenia Alvarado | Marriage & Family Therapist | 505 N. Euclid Street, Suite 300, Anaheim, CA 92801 | 2015-08-10 |
| Find all providers in zip 92801 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
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|---|---|---|---|---|
| 1174061279 | Promoj,inc | General Acute Care Hospital | 1254 W 8th St Apt 2, San Pedro, CA 90731-2944 | 2017-02-09 |
| 1699223628 | Ucsf Children's Hospital | General Acute Care Hospital | 568 Louis Dr, Novato, CA 94945-3337 | 2016-09-19 |
| 1528433885 | Michael French Dds Dental Corporation | General Acute Care Hospital | 800 Morningstar Dr, Sonora, CA 95370 | 2015-12-11 |
| 1255717377 | Ucsd Department of Pediatrics | General Acute Care Hospital | 7910 Forst St, Suite 100, San Diego, CA 92123 | 2015-07-31 |
| 1285012690 | Ucsf Pediatric Rheumatology Department | General Acute Care Hospital | 755 Ohlone Ave Apt 788, Albany, CA 94706-1967 | 2015-05-18 |
| 1942691506 | Sudhir Patel Md,. Inc. | General Acute Care Hospital | 12004 Hurst Park Dr, Bakersfield, CA 93311-8572 | 2015-02-17 |
| 1528468287 | Rite Aid | General Acute Care Hospital | 294 W Palo Alto Ave, Clovis, CA 93612-0285 | 2014-09-01 |
| 1942618046 | Christine Van Woudenberg | General Acute Care Hospital | 4602 W Wren Ave, Visalia, CA 93291-9381 | 2014-08-01 |
| 1366866345 | Loma Linda University Children's Hospital | General Acute Care Hospital | 11234 Anderson St Rm 1150, Loma Linda, CA 92354-2804 | 2014-02-11 |
| 1629490057 | Anita Marzonie | General Acute Care Hospital | 4650 W Sunset Blvd # Ms 36, Los Angeles, CA 90027-6062 | 2014-01-21 |
| Find all providers with the same taxonomy | ||||
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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.