| Center For Inherited Blood Disorders (cibd) | |
|
701 S Parker St Ste 1000 Orange CA 92868-4748 | |
| (714) 221-1200 | |
| (714) 221-1299 |
| Full Name | Center For Inherited Blood Disorders (cibd) |
|---|---|
| Speciality | Clinic/Center |
| Location | 701 S Parker St Ste 1000, Orange, California |
| Authorized Official Name and Position | Diane J Nugent (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7142211200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Inherited Blood Disorders (cibd) 701 S Parker St Ste 1000 Orange CA 92868-4748 Ph: (657) 375-0508 | Center For Inherited Blood Disorders (cibd) 701 S Parker St Ste 1000 Orange CA 92868-4748 Ph: (714) 221-1200 |
| NPI Number | 1679875942 |
|---|---|
| Provider Enumeration Date | 11/18/2010 |
| Last Update Date | 05/02/2022 |
| Medicare PECOS PAC ID | 0547427288 |
|---|---|
| Medicare Enrollment ID | O20120207000659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679875942 | NPI | - | NPPES |
| 1679875942 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 550001889 (California) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | 550001889 (California) | Secondary |
| Provider Name | Diane J Nugent |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770528663 PECOS PAC ID: 9537129655 Enrollment ID: I20041013000955 |
| Provider Name | Susan Claster |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1659471829 PECOS PAC ID: 4284686833 Enrollment ID: I20050211000534 |
| Provider Name | Loan B Hsieh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770774341 PECOS PAC ID: 2062508583 Enrollment ID: I20071015000398 |
| Provider Name | Amit Soni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659539211 PECOS PAC ID: 6800956228 Enrollment ID: I20081114000638 |
| Provider Name | David K Buchbinder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871734509 PECOS PAC ID: 1456480607 Enrollment ID: I20100526000276 |
| Provider Name | Vanessa K Salinas-luna |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952597858 PECOS PAC ID: 9537319330 Enrollment ID: I20121031000445 |
| Provider Name | Arash Mahajerin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033315247 PECOS PAC ID: 3779710215 Enrollment ID: I20131209000687 |
| Provider Name | Nina X Hwang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427286343 PECOS PAC ID: 9234367749 Enrollment ID: I20140108000597 |
| Provider Name | Esteban I Gomez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992900641 PECOS PAC ID: 4284854498 Enrollment ID: I20211027003199 |
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