Pdic, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

090017351 Issued in CA

Legal business name

PDIC, INC.

Doing business as

Professional Development Institute of California

Practice address

21155 Flametree
Lake Forest, CA 92630-6721

Phone

(949) 289-1530

NPI assigned

Jun 29, 2012

Last updated

Jun 29, 2012By 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

Aja McKee, M.S., ED.S.

Title

President

Phone

(949) 289-1530

Specialties & licenses 3

Addresses

Other names 1

• Professional Development Institute of California Doing business as

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1629332044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21155 FLAMETREE",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306721",
            "telephone_number": "949-289-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21155 FLAMETREE",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306721",
            "telephone_number": "949-289-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "AJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-289-1530",
        "authorized_official_credential": "M.S., ED.S."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "090017351",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Development Institute of California",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick M. Jadali DPM Inc
• Zeta Patti-Duran
• Jeffrey A Paulsen, D.C.
• Parnian Paymozd Yazdi, DMD
• Ashley Monique Paz, RN
• Julie Therese Pearce, M.F.T.
• Nancy Pedraza
• Adrianna Perales
• Brianna Perez
• Edith Becerra Perez

• Specialist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.