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SOUTH COUNTIES PEDIATRIC CRITICAL CARE MEDICAL GROUP
NPI 1609853688
Pediatrics - Pediatric Critical Care Medicine in Fountain Valley, CA

Active since December 29, 2005
17100 EUCLID ST, ATTN: PICU, FOUNTAIN VALLEY, CA 92708(714) 966-7253 Get Directions Write a Review

NPPES record last updated: May 28, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About South Counties Pediatric Critical Care Medical Group NPPES

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

SOUTH COUNTIES PEDIATRIC CRITICAL CARE MEDICAL GROUP (NPI 1609853688) is a healthcare organization registered as a pediatric critical care medicine in Fountain Valley, California and active in the NPI registry since December 2005. The organization lists Zacharia Reda, President, as its authorized official.

NPPES Registry Identity

NPI1609853688
Entity TypeOrganization
Primary Taxonomy2080P0203X
Legal Business NameSOUTH COUNTIES PEDIATRIC CRITICAL CARE MEDICAL GROUP
Location Address17100 EUCLID ST, ATTN: PICUFountain Valley, CA 92708-4004
Mailing Address17100 Euclid St, Attn: PicuFountain Valley, CA 92708-4004 · (714) 966-7253
Phone(714) 966-7253
Organization SubpartNo
Authorized OfficialZacharia RedaPresident · (714) 966-7253
Enumeration DateDecember 29, 2005
Last NPPES UpdateMay 28, 2015
✔ NPI 1609853688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X
Also ListedPediatrics · Pediatric PulmonologyTaxonomy 2080P0214X
17100 EUCLID ST, Fountain Valley, CA 92708
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Other Identifiers 1

MedicaidZZZ57330ZCA

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

Other Providers at the Same Location NPPES 20

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

HAI PHAM PHARM D
Pharmacist
17100 EUCLID ST
FOUNTAIN VALLEY, CA 92708
Orange County (174) 513-5586
DALILAH RESTREPO MD, A MEDICAL CORPORATION
Internal Medicine (Infectious Disease)
17100 EUCLID ST
FOUNTAIN VALLEY, CA 92708
Orange County (917) 376-0967
DR. JANELLE PENALOSA AGUSTIN PHARMD
Pharmacist
17100 EUCLID ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 966-7262
THERESA S MAESTAS MD
Emergency Medicine
17100 EUCLID ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 966-7200
SANDRA KLUWE, M.D., INC.
Anesthesiology
17100 EUCLID ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 979-1211
DR. SANDRA W KLUWE M.D.
Anesthesiology
17100 EUCLID ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 979-1211
JOEE QUYEN TRUONG R.N
Nurse Practitioner
17100 EUCLID ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 966-7200
ELSA A. TEKLE M.D.
Anesthesiology
17100 EUCLID ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 949-1211

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 South Counties Pediatric Critical Care Medical Group's NPI number?

The NPI number for South Counties Pediatric Critical Care Medical Group is 1609853688. It was assigned to this organization in the NPPES registry on December 29, 2005.

Where is South Counties Pediatric Critical Care Medical Group located?

South Counties Pediatric Critical Care Medical Group is located at 17100 Euclid St Attn: Picu, Fountain Valley, CA 92708. The listed phone number is (714) 966-7253.

What is South Counties Pediatric Critical Care Medical Group's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

When was this NPI record last updated?

The NPPES record for South Counties Pediatric Critical Care Medical Group was last updated on May 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.