DR. GEORGIA RAE PRENTICE (NPI# 1861552713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861552713 |
| Entity Type | Individual |
| Full Name | DR. GEORGIA RAE PRENTICE |
| Credential | MD |
| Practice Address |
26451 Crown Valley Pky Mission Viejo CA 92691 |
| Mailing Address |
26451 Crown Valley Pky #100 Mission Viejo CA 92691 |
| Practice Telephone | 9495822686 |
| Practice Fax Number | 9493671804 |
| Mailing Telephone | 9495822686 |
| Mailing Fax Number | 9493671804 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
C038575 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AP8662985 | 01 | |
| CA | CCS | CGP068665 | 01 |
| Street Address |
26451 CROWN VALLEY PKY |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691 |
| 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 | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548697352 | Ying Peng Md, Ph.d Inc. | Pediatrics | 26451 Crown Valley Pkwy, Suite 100, Mission Viejo, CA 92691-6362 | 2013-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306406467 | Debra Nipp | Pediatrics | 1661 Tice Valley Blvd Ste 100, Walnut Creek, CA 94595-1691 | 2019-06-19 |
| 1275979973 | Kartzinel Wellness Center Inc. | Pediatrics | 16263 Laguna Canyon Rd, Suite 150, Irvine, CA 92618-3609 | 2013-05-21 |
| 1528332905 | Pantea Sharifi Hannauer, M.d. Inc. | Pediatrics | 3524 Torrance Blvd., Suite 104, Torrance, CA 90503 | 2012-03-01 |
| 1891098422 | Bayard Allmond Jr. | Pediatrics | 36 Hillcrest Rd, Berkeley, CA 94705-2807 | 2010-12-21 |
| 1366654774 | Arleen Leann House Downing | Pediatrics | 2313 Old Grand St, Santa Ana, CA 92705-6967 | 2007-05-06 |
| 1427176700 | Suzanne Goh-hattangadi | Pediatrics | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2007-03-26 |
| 1972615227 | Paul Michael Chretien | Pediatrics | 1111 Exposition Blvd., Bldg 700, Ste 102, Sacramento, CA 95815-4335 | 2006-08-31 |
| 1386753093 | Howard L Wolfinger Jr. | Pediatrics | 4355 Ruffin Rd, San Diego, CA 92123-4306 | 2006-08-29 |
| 1790292605 | Sana Khan | Pediatrics | 5820 Stoneridge Mall Rd Ste 205, Pleasanton, CA 94588-3347 | 2018-01-02 |
| 1053706267 | Brian Wong | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2015-04-03 |
| 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.