OrganizationActive
Children'S Hospital of Orange County
NPI 1336482256 · Pediatric Critical Care Medicine Physician · Orange, CA
Provider details
- NPI number
- 1336482256
- Entity type
- Organization
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Children'S Hospital Or Orange County
- Organization subpart
- Yes
- Authorized official
- Mark Kelly, Director, Cs Business Services(714) 509-7964
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1201 W La Veta Ave
Orange, CA 92868-4203
Phone: (714) 509-8620
Fax: (714) 509-4072
Street-level locationGet directions
Mailing address
1201 W La Veta Ave
Orange, CA 92868-4203
Other names (DBA / former)
- Doing business as
- Cs Critical Care
Registry dates
- Enumerated
- 2013-03-28
- Last updated
- 2013-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.