Theodore Pastrana MD., Apc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

G75347 Issued in CA

Legal business name

THEODORE PASTRANA MD., APC

Practice address

100 E Valencia Mesa Dr
Ste. 100
Fullerton, CA 92835-3813

Phone

(714) 525-4185

Fax

(714) 525-7321

NPI assigned

Oct 10, 2013

Last updated

Oct 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Theodore B. Pastrana Jr., M.D.NPI 1992747653

Title

President

Phone

(714) 525-4185

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theodore B. Pastrana Jr., M.D.

  • Family Medicine Physician
  • La Habra, CA
  • NPI 1992747653
  NPD Authorized official
• Africa S So, MD

  • Pediatrics Physician
  • Fullerton, CA
  • NPI 1740381417
  NPD (past)

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1548697311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E VALENCIA MESA DR",
            "address_2": "STE. 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353813",
            "telephone_number": "714-525-4185",
            "fax_number": "714-525-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E VALENCIA MESA DR",
            "address_2": "STE. 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353813",
            "telephone_number": "714-525-4185",
            "fax_number": "714-525-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE PASTRANA MD., APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "PASTRANA",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-525-4185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "G75347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Neurobehavioral Group, a Psychological Corporation (Fullerton Neuropsychological Services)
• The Nightingale Hospice and Palliative Care Inc. (N/a)
• The Paradise
• The Pathology Group, Inc. (St Jude Pathology Medical Group)
• The Sober Zone, Inc
• Therapy for Kids, Inc. (Gallagher Pediatric Therapy)
• Franklin Earl Thiercof, BA
• Zoey Ty Thipavong
• Thomas W. Ela, M.D., Inc.
• Cheryl Thomas

• Preferred Provider Organization in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.