PSF GASTRO NPI 1194915157

NPI Information

  • NPI: 1194915157
  • Provider Name: PSF GASTRO
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Other Name: PEDIATRIC SUBSPECIALTY FACULTY, INC.
  • Address: 455 S MAIN ST
    ORANGE, CA
    ZIP 92868
  • Phone: (714) 516-4295

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NPI Details

PSF GASTRO is a specialist in Orange, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PSF GASTRO NPI is 1194915157. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Pediatric Subspecialty Faculty, Inc..

The provider's business location address is:

455 S MAIN ST
ORANGE, CA
ZIP 92868-835
Phone: (714) 516-4295
Fax: (714) 289-4798

The provider's authorized official is Elizabeth Farace .
The authorized official title is Billing Manager and has the following contact phone number (714) 516-4295.

The enumeration date for this NPI number is 7/26/2007 and was last updated on 2/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GR0090406MEDICAIDCALIFORNIA
2GR0090407MEDICAIDCALIFORNIA
3GR0090405MEDICAIDCALIFORNIA
41790850279OTHERCALIFORNIANPI
5GR0090404MEDICAIDCALIFORNIA
6GR0090409MEDICAIDCALIFORNIA
7GR0090395MEDICAIDCALIFORNIA
8GR009040AMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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