Active NPI
Guy Hidas, MD
- Pediatrics Physician
- Orange, CA
National Provider Identifier
1336443001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- F5641
- Practice address
- 505 S Main St Ste 100
Orange, CA 92868-4568 - Phone
- (714) 512-3914
- NPI assigned
- Jan 10, 2011
- Last updated
- Jan 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | F5641 | CA | Primary |
Addresses
Primary practice location
505 S Main St Ste 100
Orange, CA 92868-4568
Mailing address
PO Box 51342
Los Angeles, CA 90051-5642
Phone (714) 456-7005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294617600000",
"number": "1336443001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51342",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900515642",
"telephone_number": "714-456-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S MAIN ST STE 100",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684568",
"telephone_number": "714-512-3914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIDAS",
"first_name": "GUY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-10",
"last_updated": "2011-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "F5641",
"primary": true
}
],
"identifiers": [],
"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 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.