Orange County Pediatric Cardiology Medical Group

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

ORANGE COUNTY PEDIATRIC CARDIOLOGY MEDICAL GROUP

Doing business as

Children's Cardiology Group

Practice address

1310 W Stewart Dr
Suite 407
Orange, CA 92868-3854

Phone

(714) 538-8887

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Dana Sims

Title

Practice Administrator

Phone

(714) 538-5558

Specialties & licenses 1

Addresses

Other names 1

• Children's Cardiology Group Doing business as

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 3

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

• Jodie Elizabeth Gandy, M.D.

  • Pediatric Cardiology Physician
  • Orange, CA
  • NPI 1376576520
  NPD (past)
• Donald Sperling, MD

  • Pediatric Cardiology Physician
  • Orange, CA
  • NPI 1255441507
  NPD (past)
• Keith Mitchell Weiner, M.D.

  • Pediatric Cardiology Physician
  • Orange, CA
  • NPI 1023034733
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686441600000",
    "number": "1508902289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR",
            "address_2": "SUITE 407",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683854",
            "telephone_number": "714-538-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR",
            "address_2": "SUITE 407",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683854",
            "telephone_number": "714-538-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY PEDIATRIC CARDIOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-06-11",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "714-538-5558"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Cardiology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orange County Health Authority (CalOptima)
• Orange County Health Care Agency
• Orange County Heart Institute and Research Center a Medical Group
• Orange County Pathology Medical Group, Inc (Pathology Diagnostic Consultants Inc.)
• Orange County Pathology Medical Group, Inc
• Orange County Pediatric Urology Associates, PC
• Orange County Robotic General Surgery Inc
• Orange County Spinal Imaging Inc
• Orange County Thoracic and Cardiovascular Surgeons a Med Corp
• Orange Diagnostic Ultrasound, Inc.

• Pediatric Cardiology Physician in Orange, CA
• Providers in Orange, CA by specialty
• Pediatric Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2023; 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.