Raising Sages Integrative Pediatrics, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A76363 Issued in CA

Legal business name

RAISING SAGES INTEGRATIVE PEDIATRICS, INC.

Practice address

1601 Dove St
Suite 276
Newport Beach, CA 92660-2433

Phone

(949) 788-1111

Fax

(949) 788-1110

NPI assigned

Jul 23, 2014

Organization subpart

No

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

Authorized official

Name

Dane R. Fliedner, M.D.NPI 1164568655

Title

Authorized Official

Phone

(949) 788-1111

Specialties & licenses 1

Addresses

Practitioners 1

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

• Dane R Fliedner, MD

  • Pediatrics Physician
  • Newport Beach, CA
  • NPI 1164568655
  NPD (past) Authorized official

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1750799680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12257",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926585057",
            "telephone_number": "949-788-1111",
            "fax_number": "949-788-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 DOVE ST",
            "address_2": "SUITE 276",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602433",
            "telephone_number": "949-788-1111",
            "fax_number": "949-788-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAISING SAGES INTEGRATIVE PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "FLIEDNER",
        "authorized_official_first_name": "DANE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "949-788-1111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A76363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farah Ragan
• Shahla P Rah, M.D.
• Behzad Burt Rahavi, M.D.
• Nasrin Rahavi
• Svetlana Raichel-Stivi, M.D.
• Meenakshi Rajan, M.D.
• Farzan Shabbir Rajput, MD
• Ralli and Grewal Apc
• Julie Robin Ralls, M.D.
• Ralph J. Venuto, MD, Inc.

• Pediatrics Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.