NPIMap

Organization Active NPI

Mission Viejo Office

  • Pediatrics Physician
  • Mission Viejo, CA
National Provider Identifier
1811188170
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MISSION VIEJO OFFICE
Practice address
27800 Medical Center Rd Ste 138
Mission Viejo, CA 92691-6407
Phone
(714) 516-4295
NPI assigned
Aug 1, 2007
Last updated
Aug 1, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
PEDIATRIC SUBSPECIALTY FACULTY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Elizabeth M Farace
Title
Manager
Phone
(714) 516-4295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X CA Primary

Addresses

Primary practice location

27800 Medical Center Rd Ste 138
Mission Viejo, CA 92691-6407

Mailing address

455 S Main St
Orange, CA 92868-3835
Phone (714) 516-4295

Other names 1

  • Pediatric Subspecialty Faculty, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Subspecialty Facultyinc34 organizations share this tax ID, including this one
Part of
Pediatric Subspecialty Facultyinc

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Locations

27800 Medical Center Rd
Ste 138
Mission Viejo, CA 92691
Phone (949) 365-2379

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1811188170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S MAIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683835",
            "telephone_number": "714-516-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27800 MEDICAL CENTER RD STE 138",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916407",
            "telephone_number": "714-516-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION VIEJO OFFICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC SUBSPECIALTY FACULTY, INC.",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "FARACE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-516-4295"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Subspecialty Faculty, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.