Kids Care Pediatrics Medical Group, Inc.

Primary specialty

Pediatric Hospice and Palliative Medicine PhysicianTaxonomy code 2080H0002X

License

A052752 Issued in CA

Legal business name

KIDS CARE PEDIATRICS MEDICAL GROUP, INC.

Practice address

1164 N Euclid St
Anaheim, CA 92801-1900

Phone

(714) 778-0613

NPI assigned

May 17, 2007

Last updated

Aug 22, 2020By 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

Rosemary A Bradford VI

Title

Healthcare Adminstrator

Phone

(714) 778-0623

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Ana Reya Concepcion-Medina, M.D.

  • Specialist
  • Anaheim, CA
  • NPI 1730106584
  NPD (past)
• Margaret Mary Desa, M.D.

  • Specialist
  • Santa Ana, CA
  • NPI 1144247990
  NPD (past)
• Antonio Mejia Gancayco, M.D.

  • Specialist
  • Anaheim, CA
  • NPI 1104843960
  NPD (past)
• Efren Garcia Rodriguez, M.D.

  • Specialist
  • Anaheim, CA
  • NPI 1992726434
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881801835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011900",
            "telephone_number": "714-778-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011900",
            "telephone_number": "714-778-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CARE PEDIATRICS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "HEALTHCARE ADMINSTRATOR",
        "authorized_official_telephone_number": "714-778-0623",
        "authorized_official_name_suffix": "VI"
    },
    "taxonomies": [
        {
            "code": "2080H0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A052752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Ki, NP
• Trinity Noelle Kiang
• Kiarash Bakhaj Inc (Western Podiatry)
• Mark S Kibbe
• Lauren Kidd, MA
• Kids Critical Care Medical Group Inc
• Kietnguyen DMD Corp (Kiet Nguyen DMD)
• Dao A. Kieu, MD
• Paige Kikawa
• Eileen Kil

• Pediatric Hospice and Palliative Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Pediatric Hospice and Palliative Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.