Pediatric Surgical Specialists of Orange County

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

G79479 Issued in CA

Legal business name

PEDIATRIC SURGICAL SPECIALISTS OF ORANGE COUNTY

Practice address

1120 W la Veta Ave
Suite 100
Orange, CA 92868-4231

Phone

(714) 361-4480

Fax

(714) 361-4490

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Miss Christina M Barretta

Title

Practice Manager

Phone

(714) 361-4480

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1194908293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W LA VETA AVE",
            "address_2": "SUITE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684231",
            "telephone_number": "714-361-4480",
            "fax_number": "714-361-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W LA VETA AVE",
            "address_2": "SUITE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684231",
            "telephone_number": "714-361-4480",
            "fax_number": "714-361-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SURGICAL SPECIALISTS OF ORANGE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "BARRETTA",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "714-361-4480",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": "CA",
            "license": "G79479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Subspecialty Faculty, Inc.
• Pediatric Subspecialty Faculty, Inc.
• Pediatric Subspecialty Faculty, Inc.
• Pediatric Subspecialty Faculty,Inc.
• Pediatric Surgical Associates Inc a Medical Corporation
• Pediatrix Cardiology of Orange County, P.C.
• Robert Pedicini, MD
• Diann F Pedregon, RD
• Carly Pedroza
• Elvitta Pedroza

• Pediatric Surgery Physician in Orange, CA
• Providers in Orange, CA by specialty
• Pediatric Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.