Irene Pe, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A49301 Issued in CA

Practice address

12665 Garden Grove Blvd
Suite 606
Garden Grove, CA 92843-1901

Phone

(714) 530-5100

Fax

(714) 534-9400

NPI assigned

Feb 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Irene Pe, MD PC

  • Clinic/Center
  • Garden Grove, CA
  • NPI 1619939691
  NPD (past) Authorized official
• Orange County Global Medical Center, Inc

  • General Acute Care Hospital
  • Santa Ana, CA
  • NPI 1982697678
  NPD (past)

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1154560415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD",
            "address_2": "SUITE 606",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431901",
            "telephone_number": "714-530-5100",
            "fax_number": "714-534-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD",
            "address_2": "SUITE 606",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431901",
            "telephone_number": "714-530-5100",
            "fax_number": "714-534-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PE",
        "first_name": "IRENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A49301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A493010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Patterson
• Paul Choong Hwan Lee, MD a Medical Corporation
• Temesha Paxton
• Stephanie Paz Valdovinos
• PCG Medical Institute Corp.
• Carolyn Marie Pearce, M.A., CCC-SLP
• Linda L Pearce, PNP
• Daisha Pearson
• Gemma Pedersen
• Pediatrics & Neonatology Medical Group of Orange County

• Pediatrics Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.