Fountain Valley Pediatrics, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

FOUNTAIN VALLEY PEDIATRICS, INC.

Practice address

11100 Warner Ave Ste 262
Fountain Valley, CA 92708-7512

Phone

(714) 979-7788

Fax

(714) 979-7799

NPI assigned

Dec 8, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Pin-Wei Ko, M.D.

Title

President

Phone

(714) 979-7788

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1225367071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 262",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087512",
            "telephone_number": "714-979-7788",
            "fax_number": "714-979-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 262",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087512",
            "telephone_number": "714-979-7788",
            "fax_number": "714-979-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN VALLEY PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "PIN-WEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-979-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fountain Valley Emergency Physicians, P.C.
• Fountain Valley Heallthcare Center
• Fountain Valley Hospitalist Medical Group
• Fountain Valley Integrative Physical Medicine
• Fountain Valley Office
• Fountain Valley Regional Dialysis Center LLC
• Fountain Valley Regional Hospital & Medical Center (Fountain Valley Regional Hospital)
• Fountain Valley Regional Hospital and Medical Center
• Fountain Valley Regional Sleep Center, LLC (HSD Sleep Center)
• Fountain Valley SD

• Pediatrics Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.