NPIMap

Organization Active NPI

Aliso Viejo Office

  • Pediatrics Physician
  • Aliso Viejo, CA
National Provider Identifier
1093906356
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ALISO VIEJO OFFICE
Practice address
26671 Aliso Creek Rd Ste 103
Aliso Viejo, CA 92656-4807
Phone
(714) 516-4295
NPI assigned
Aug 1, 2007
Organization subpart
Yes
Parent organization
PEDIATRIC SUBSPECIALTY FACULTY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Elizabeth M Farace
Title
Manager
Phone
(714) 516-4295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X CA Primary

Addresses

Primary practice location

26671 Aliso Creek Rd Ste 103
Aliso Viejo, CA 92656-4807

Mailing address

455 S Main St
Orange, CA 92868-3835
Phone (714) 516-4295

Other names 1

  • Pediatric Subspecialty Faculty, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
PSF Neurology 234 organizations share this tax ID, including this one
Part of
PSF Neurology 2

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Locations

26671 Aliso Creek Rd
Ste 103
Aliso Viejo, CA 92656
Phone (949) 448-8861

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1093906356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S MAIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683835",
            "telephone_number": "714-516-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26671 ALISO CREEK RD STE 103",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564807",
            "telephone_number": "714-516-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALISO VIEJO OFFICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC SUBSPECIALTY FACULTY, INC.",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "FARACE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-516-4295"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Subspecialty Faculty, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.