NPIMap

Organization Active NPI

PSF Hematology

  • Specialist
  • Orange, CA
National Provider Identifier
1467642421
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PSF HEMATOLOGY
Practice address
455 S Main St
Orange, CA 92868-3835
Phone
(714) 516-4295
Fax
(714) 289-4798
NPI assigned
Jul 26, 2007
Last updated
Aug 5, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
PEDIATRIC SUBSPECIALTY FACULTY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Elizabeth M Farace
Title
Billing Manager
Phone
(714) 516-4295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

455 S Main St
Orange, CA 92868-3835

Mailing address

455 S Main St
Orange, CA 92868-3835
Phone (714) 516-4295

Other identifiers 2

IdentifierTypeStateIssuer
GR009039JMedicaidCA
GR009039AMedicaidCA

Other names 1

  • Pediatric Subspecialty Faculty, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Subspecialty Facultyinc34 organizations share this tax ID, including this one
Part of
Pediatric Subspecialty Facultyinc

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1467642421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S MAIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683835",
            "telephone_number": "714-516-4295",
            "fax_number": "714-289-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S MAIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683835",
            "telephone_number": "714-516-4295",
            "fax_number": "714-289-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSF HEMATOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC SUBSPECIALTY FACULTY, INC.",
        "enumeration_date": "2007-07-26",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "FARACE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "714-516-4295"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR009039J",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR009039A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Subspecialty Faculty, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 5, 2009; 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.