Active NPI
Pamela J Middleton, M.D.
- Pediatrics Physician
- Orange, CA
National Provider Identifier
1548300593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A74531
- Practice address
- 630 S Glassell St
Orange, CA 92866-3004 - Phone
- (714) 639-9691
- NPI assigned
- Feb 7, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A74531 | CA | Primary |
Addresses
Primary practice location
630 S Glassell St
Orange, CA 92866-3004
Mailing address
359 San Miguel Dr
Suite 303
Newport Beach, CA 92660-7812
Phone (949) 706-1414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A74531 | Other | CA | STATE LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Health Care Center Move USA, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Grand Terrace, CA
- NPI 1992834899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1548300593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "359 SAN MIGUEL DR",
"address_2": "SUITE 303",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607812",
"telephone_number": "949-706-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 S GLASSELL ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928663004",
"telephone_number": "714-639-9691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "PAMELA",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A74531",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "A74531",
"state": "CA"
}
],
"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 Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.