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PEDIATRIC SUBSPECIALTY FACULTY, INC.
NPI 1043401870
Pediatrics - Pediatric Cardiology in Orange, CA

Active since August 07, 2007CLIA 05D2251795 · Waiver
1310 W STEWART DR STE 212, ORANGE, CA 92868(714) 516-4295 Get Directions Write a Review

NPPES record last updated: February 25, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Pediatric Subspecialty Faculty, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC SUBSPECIALTY FACULTY, INC. (NPI 1043401870) is a healthcare organization registered as a pediatric cardiology in Orange, California and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through February 5, 2028 and lists Elizabeth M Farace, Manager, as its authorized official.

NPPES Registry Identity

NPI1043401870
Entity TypeOrganization
Primary Taxonomy2080P0202X
Legal Business NamePROVIDENCE - CARDIOLOGY
Location Address1310 W STEWART DR STE 212Orange, CA 92868-3837
Mailing Address455 S Main StOrange, CA 92868-3835 · (714) 516-4295
Phone(714) 516-4295
Organization SubpartNo
Authorized OfficialElizabeth M FaraceManager · (714) 516-4295
Enumeration DateAugust 7, 2007
Last NPPES UpdateFebruary 25, 2008
✔ NPI 1043401870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1310 W STEWART DR STE 212, Orange, CA 92868
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Other Names 1

Other NamePediatric Subspecialty Faculty, Inc.

Other Identifiers 3

MedicaidGR009039BCA
MedicaidGR009039DCA
MedicaidGR009039GCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2251795

Providence Cardiology Orange · Orange, CA
Active · expires Feb 5, 2028
CLIA Number05D2251795
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorDavid Pan
Laboratory Phone(714) 543-5555
Laboratory LocationProvidence Cardiology Orange1140 W La Veta Ave Suite 430, Orange, CA 92868
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE CHATER LEA
Physician Assistant
1310 W STEWART DR STE 212
ORANGE, CA 92868
Orange County (714) 543-8911
CHRISTIAN MILLER
Physician Assistant
1310 W STEWART DR STE 212
ORANGE, CA 92868
Orange County (714) 450-6880
JOHN NISHIOKA
Physician Assistant
1310 W STEWART DR STE 212
ORANGE, CA 92868
Orange County (714) 543-8911
KATIE JO DOERING MD
Emergency Medicine
1310 W STEWART DR STE 212
ORANGE, CA 92868
Orange County (805) 587-2231
DR. JUSTIN PHILIP ANDERSON M.D.
Emergency Medicine
1310 W STEWART DR STE 212
ORANGE, CA 92868
Orange County (714) 543-8911
GREGORY SAMPSON POWELL MD
Emergency Medicine
1310 W STEWART DR STE 212
ORANGE, CA 92868
Orange County (714) 543-8911
DR. NELSON H BANSIL D.O.
Pediatrics (Pediatric Emergency Medicine)
1310 W STEWART DR STE 212
ORANGE, CA 92868
Orange County (714) 543-8911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence - Cardiology's NPI number?

The NPI number for Providence - Cardiology is 1043401870. It was assigned to this organization in the NPPES registry on August 7, 2007. The provider is also known as Pediatric Subspecialty Faculty, Inc..

Where is Providence - Cardiology located?

Providence - Cardiology is located at 1310 W Stewart Dr Ste 212, Orange, CA 92868. The listed phone number is (714) 516-4295.

What is Providence - Cardiology's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Does Providence - Cardiology hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2251795) is associated with this NPI, valid through February 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Providence - Cardiology was last updated on February 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.