Edinger Pediatrics, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

EDINGER PEDIATRICS, INC.

Practice address

9900 Talbert Ave Ste 201
Fountain Valley, CA 92708-5153

Phone

(714) 965-2500

NPI assigned

Feb 5, 2020

Last updated

Feb 5, 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

Dr. Harry Pellman, M.D.NPI 1295771814

Title

President

Phone

(714) 965-2500

Specialties & licenses 1

Addresses

Locations

Practitioners 6

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.

• Harry Pellman, MD

  • Pediatrics Physician
  • Fountain Valley, CA
  • NPI 1295771814
  NPD (past) Authorized official
• Valery Brouwer, MD

  • Pediatrics Physician
  • Fountain Valley, CA
  • NPI 1508895228
  NPD (past)
• Shelley Chacon, MD

  • Pediatrics Physician
  • Fountain Valley, CA
  • NPI 1477584985
  NPD (past)
• Bertram Dias, MD

  • Pediatrics Physician
  • Fountain Valley, CA
  • NPI 1780613406
  NPD (past)
• Malcolm Sperling, MD

  • Surgery Physician
  • Fountain Valley, CA
  • NPI 1104855816
  NPD (past)
• Mai Khanh Tran, MD

  • Pediatrics Physician
  • Fountain Valley, CA
  • NPI 1770514382
  NPD (past)

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1922630227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 TALBERT AVE STE 201",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 TALBERT AVE STE 201",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-965-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDINGER PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "PELLMAN",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-965-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia M Ebrahimian, OT
• Natalie Grace Echeverria
• Sivan Eckert
• Maurie Edelman
• Edinger Medical Group, Inc.
• Joel Wesley Edwards
• Karla Jeannette Edwards
• Stephanie Tuason Ehret
• Gabrielle Udochi Eke
• Amal Elali, PA-C

• Pediatrics Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.