Orange Doctors of Kids and Teens

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

ORANGE DOCTORS OF KIDS AND TEENS

Practice address

1310 W. Stewart Drive
Suite #506
Orange, CA 92868

Phone

(714) 639-3914

Fax

(714) 538-5427

NPI assigned

Jul 22, 2006

Last updated

Sep 10, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Allan Wong, M.D.NPI 1831224450

Title

Treasurer

Phone

(714) 639-3914

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allan Michael Wong, MD

  • Pediatrics Physician
  • Orange, CA
  • NPI 1831224450
  NPD (past) Authorized official
• Lourdes Brown, MD

  • Pediatric Adolescent Medicine Physician
  • Orange, CA
  • NPI 1649305269
  NPD (past)
• Lisa Condon Gorab, MD

  • Pediatric Adolescent Medicine Physician
  • Orange, CA
  • NPI 1245366061
  NPD (past)
• Stanley Ken Kanow, MD

  • Pediatric Adolescent Medicine Physician
  • Orange, CA
  • NPI 1548395122
  NPD (past)
• Elizabeth Keramati, RN MSN CPNP

  • Pediatric Nurse Practitioner
  • Orange, CA
  • NPI 1316365752
  NPD (past)
• Monica Meilyn Boggs Molina, MD

  • Pediatrics Physician
  • Orange, CA
  • NPI 1548767890
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1093736118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W. STEWART DRIVE",
            "address_2": "SUITE #506",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-639-3914",
            "fax_number": "714-538-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W. STEWART DRIVE",
            "address_2": "SUITE #506",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-639-3914",
            "fax_number": "714-538-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE DOCTORS OF KIDS AND TEENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "714-639-3914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orange County Pediatric Urology Associates, PC
• Orange County Robotic General Surgery Inc
• Orange County Spinal Imaging Inc
• Orange County Thoracic and Cardiovascular Surgeons a Med Corp
• Orange Diagnostic Ultrasound, Inc.
• Orange Family Dentistry (Jay J Berger)
• Orange Family Medicine Inc
• Orange Healthcare & Wellness Centre LLC (Orange Healthcare and Wellness Centre)
• Orange Hills Medical Group (Orange Hills Chiropractic)
• Orange Infertility Obstetrical and Gynecological Medical Group, Inc

• Preferred Provider Organization in Orange, CA
• Providers in Orange, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.