Dr. Patricia's Health Club, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DR. PATRICIA'S HEALTH CLUB, INC.

Practice address

1310 W. Stewart Drive
Suite 508
Orange, CA 92868-3856

Phone

(714) 549-6440

Fax

(714) 549-6449

NPI assigned

Mar 12, 2011

Organization subpart

No

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

Authorized official

Name

Mr. James Potter Stivers

Title

Chief Financial Officer

Phone

(949) 226-1733

Specialties & licenses 3

Addresses

Locations

Practitioners 2

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

• Patricia Ann Ronald Riba, MD

  • Pediatrics Physician
  • Orange, CA
  • NPI 1063562908
  NPD
• Carolina Daniela Eberhard Veira, LCSW

  • Clinical Social Worker
  • Orange, CA
  • NPI 1649440470
  NPD (past)

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

{
    "created_epoch": "1299888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1578861613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E. COLUMBINE",
            "address_2": "UNIT D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927074404",
            "telephone_number": "714-549-6440",
            "fax_number": "714-549-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W. STEWART DRIVE",
            "address_2": "SUITE 508",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683856",
            "telephone_number": "714-549-6440",
            "fax_number": "714-549-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PATRICIA'S HEALTH CLUB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-12",
        "last_updated": "2024-03-01",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "STIVERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "POTTER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "949-226-1733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "A72318",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenna Doyle
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• Dr Levitt D D S Dental Corp
• Dr Shenavad DDS,a Dental Corp (Brighter Smiles)
• Jennifer Marie Draganchuk, MD
• David Draghici, DPT
• Susan Ann Dragoo, APRN WHNP/FNP-BC
• Michael V Drake, MD
• Dennise Drapete

• Pediatrics Physician in Orange, CA
• Providers in Orange, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.