NPIMap

Organization Active NPI

Pediatric Subspecialty Faculty, Inc.

  • Neonatal-Perinatal Medicine Physician
  • Orange, CA
National Provider Identifier
1144468620
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
PEDIATRIC SUBSPECIALTY FACULTY, INC.
Practice address
455 S Main St
PSF Neonatology
Orange, CA 92868-3835
Phone
(714) 532-8620
Fax
(714) 289-4072
NPI assigned
Jan 22, 2009
Last updated
Jan 22, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
PEDIATRIC SUBSPECIALTY FACULTY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Hale Kuhlman
Title
Executive Director
Phone
(714) 289-4511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X NU Primary

Addresses

Primary practice location

455 S Main St
PSF Neonatology
Orange, CA 92868-3835

Mailing address

455 S Main St
PSF Neonatology
Orange, CA 92868-3835
Phone (714) 532-8620

Other identifiers 1

IdentifierTypeStateIssuer
1093905051MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Subspecialty Facultyinc34 organizations share this tax ID, including this one
Part of
Pediatric Subspecialty Facultyinc

Other organizations with this tax ID 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1144468620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S MAIN ST",
            "address_2": "PSF NEONATOLOGY",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683835",
            "telephone_number": "714-532-8620",
            "fax_number": "714-289-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S MAIN ST",
            "address_2": "PSF NEONATOLOGY",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683835",
            "telephone_number": "714-532-8620",
            "fax_number": "714-289-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SUBSPECIALTY FACULTY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC SUBSPECIALTY FACULTY, INC.",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "KUHLMAN",
        "authorized_official_first_name": "HALE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-289-4511"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093905051",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.