Superkids Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A97744 Issued in CA

Legal business name

SUPERKIDS PEDIATRICS

Practice address

113 Waterworks Way
Suite 140
Irvine, CA 92618-3167

Phone

(949) 903-9186

NPI assigned

Sep 27, 2012

Last updated

Sep 27, 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

Dr. Andrew Bryant Lee, M.D.NPI 1972762805

Title

President

Phone

(949) 903-9186

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, and the practitioner matching its NPPES authorized official.

• Andrew B Lee, MD

  • Pediatrics Physician
  • Irvine, CA
  • NPI 1972762805
  Authorized official Same address or phone

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1992056253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY",
            "address_2": "SUITE 140",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183167",
            "telephone_number": "949-903-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY",
            "address_2": "SUITE 140",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183167",
            "telephone_number": "949-903-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERKIDS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "BRYANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-903-9186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A97744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Behavioral Health Group (Sunshine Behavioral Health Partners LLC)
• Sunshine Pediatrics Oc Inc
• Vina Suntonvipart, L.AC.
• Michael Sunwoo, D.D.S.
• Superior Homecare Services LLC
• Supervista North America (brillen.com #024134)
• Floragrace Surell, M.D.
• Surfliner Home Care Services
• Surgery Center of Irvine LP
• Surgical Assisting of Broward LLC

• Pediatrics Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.