Children'S Medical Group of Orange County Apc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G54577 Issued in CA

Legal business name

CHILDREN'S MEDICAL GROUP OF ORANGE COUNTY APC

Practice address

500 S Anaheim Hills Rd
Suite 110
Anaheim Hills, CA 92807

Phone

(714) 282-2229

Fax

(877) 794-9299

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Esther Esther Velarde Haig

Title

Office Manager

Phone

(714) 282-2229

Specialties & licenses 4

Addresses

Other names 1

• children's medical group of orange county Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol Man, MD

  • Pediatrics Physician
  • Orange, CA
  • NPI 1891228060
  NPD (past)
• Tecoa N Turner, DO

  • Pediatrics Physician
  • Anaheim, CA
  • NPI 1366441164
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1386670974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD",
            "address_2": "SUITE 110",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "92807",
            "telephone_number": "714-282-2229",
            "fax_number": "714-282-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD",
            "address_2": "SUITE 110",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "92807",
            "telephone_number": "714-282-2229",
            "fax_number": "877-794-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S MEDICAL GROUP OF ORANGE COUNTY APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2021-06-11",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "VELARDE HAIG",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-282-2229"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G54577",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G24973",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A055101",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "children's medical group of orange county",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "children's medical group of orange county",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Max Belda, DDS
• Mary Sue Illions Berry, D.O.
• Terisa Marie Brown-Sienko, NP
• Harry Joel Charm, OD
• Caren Hui-Min Chen, MD
• Bernadine M Deramo, NP
• Kim Jon Dipasquale, DDS MS
• Dr Mahadev MD Inc
• F.Foroutan DDS Inc.
• Janet Eileen Frazier, L.M.F.T, DR. P.H.

• Pediatrics Physician in Anaheim Hills, CA
• Providers in Anaheim Hills, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.