Active NPI
Adoracion Manalad Palisoc, MD
- Psychiatry Physician
- Orange, CA
National Provider Identifier
1518040914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C042825
- Practice address
- 5224 Versaille CT
Orange, CA 92867 - Phone
- (714) 974-4321
- Fax
- (714) 974-4458
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C042825 | CA | Primary |
Addresses
Primary practice location
5224 Versaille CT
Orange, CA 92867
Mailing address
5224 Versaille CT
Orange, CA 92867
Phone (714) 974-4321
Other names 1
- Dr. Teodueyo Cenena Palisoc
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42825 | CA | MD | General Practice Dentistry |
| C042825 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518040914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5224 VERSAILLE CT",
"city": "ORANGE",
"state": "CA",
"postal_code": "92867",
"telephone_number": "714-974-4321",
"fax_number": "714-974-4458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5224 VERSAILLE CT",
"city": "ORANGE",
"state": "CA",
"postal_code": "92867",
"telephone_number": "714-974-4321",
"fax_number": "714-974-4458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALISOC",
"first_name": "ADORACION",
"middle_name": "MANALAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C042825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TEODUEYO",
"last_name": "PALISOC",
"middle_name": "CENENA",
"prefix": "DR.",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.