CHOC CHILDREN'S SUBSPECIALTY CLINIC- PULMONARY (NPI# 1568911303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568911303 |
| Entity Type | Organization |
| Organization Name | CHOC CHILDREN'S SUBSPECIALTY CLINIC- PULMONARY |
| Practice Address |
1201 W La Veta Ave Orange CA 92868-4203 |
| Mailing Address |
Po Box 54559 Los Angeles CA 90054-0559 |
| Practice Telephone | 8887702462 |
| Practice Fax Number | 8552462329 |
| Mailing Telephone | 7144563724 |
| Mailing Fax Number | 7144568101 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-30 |
| Authorized Official Name | DR. MANUEL PORTO (PRESIDENT) |
| Authorized Official Telephone | 7144562986 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
1201 W LA VETA AVE |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477552941 | Roberto Limgenco Barretto | Otolaryngology | 1201 W La Veta Ave, Ste. 311, Orange, CA 92868-4213 | 2005-07-18 |
| 1083212054 | Mercy Air Service, Inc. | Ambulance | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-10-13 |
| 1225641418 | Jonathan Chodosh Strok | Nurse Practitioner | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-08-26 |
| 1881206779 | Emma Lind | Nurse Practitioner | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-08-20 |
| 1750993622 | Natalie Michelle Adame | Nurse Practitioner | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-08-20 |
| 1578172946 | Olivia Armour Tiffany | Psychologist | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-07-30 |
| 1376161323 | Tina Halabian | Student in an Organized Health Care Education/Training Program | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-07-07 |
| 1538786041 | Alyssa Marie Ramos-chavez | Psychologist | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-06-30 |
| 1588281265 | Tiffany Thao Vo | Student in an Organized Health Care Education/Training Program | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-06-29 |
| 1801423769 | Jonathan Thorpe | Student in an Organized Health Care Education/Training Program | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-03-23 |
| Find all providers in the same location | ||||
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265063846 | Call To Care LLC | Clinic/Center | 523 Park Ave, Orange, NJ 07050-1703 | 2020-01-31 |
| 1952470957 | Utmb Regional Maternal and Child Health Program | Clinic/Center | 2014 10th St, Orange, TX 77630-3431 | 2006-11-06 |
| 1184002198 | Uc Irvine Medical Center- Geriatrics, Primary Care | Clinic/Center | 101 The City Dr S, Senior Center, Pav Iv, Orange, CA 92868-3201 | 2015-05-11 |
| 1881988632 | Regents of The University of California | Clinic/Center | 101 The City Dr S, Orange, CA 92868-3201 | 2011-06-08 |
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| 1649878117 | Cameron S Francis Md Inc | Clinic/Center | 1431 Camino Del Mar, Del Mar, CA 92014-2509 | 2020-10-15 |
| 1982211835 | Crossover Health Medical Group | Clinic/Center | 711 W 2nd St Ste A, San Bernardino, CA 92410-3262 | 2020-09-24 |
| 1982211843 | Crossover Health Medical Group | Clinic/Center | 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042 | 2020-09-24 |
| 1164039020 | Crossover Health Medical Group | Clinic/Center | 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 | 2020-09-24 |
| 1104432673 | Aleracare Medical Group of California | Clinic/Center | 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 | 2020-09-21 |
| 1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
| 1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHOC CHILDREN'S SUBSPECIALTY CLINIC- PULMONARY.
| 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.