Pediatrics & Neonatology Medical Group of Orange County

Primary specialty

SpecialistTaxonomy code 174400000X

License

A44664 Issued in CA

Legal business name

PEDIATRICS & NEONATOLOGY MEDICAL GROUP OF ORANGE COUNTY

Practice address

12555 Garden Grove Blvd
Suite 206
Garden Grove, CA 92843-1902

Phone

(714) 537-6595

Fax

(714) 537-2176

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Jill Cresap

Title

Director of Operations

Phone

(714) 537-6595

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275545642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 GARDEN GROVE BLVD",
            "address_2": "SUITE 206",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431902",
            "telephone_number": "714-537-6595",
            "fax_number": "714-537-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 GARDEN GROVE BLVD",
            "address_2": "SUITE 206",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431902",
            "telephone_number": "714-537-6595",
            "fax_number": "714-537-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS & NEONATOLOGY MEDICAL GROUP OF ORANGE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRESAP",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "714-537-6595"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A44664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Pe, MD
• Carolyn Marie Pearce, M.A., CCC-SLP
• Linda L Pearce, PNP
• Daisha Pearson
• Gemma Pedersen
• Pediatrics & Neonatology Medical Group of Orange County Inc
• Joanna Pedraza, LVN
• Santiago Pedraza
• Pedro Morales DDS, Inc.
• Dillon T Pedroza

• Specialist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.