Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Children's Hospital of Orange County

Organization Neurological Surgery Physician · NPI 1003159500

Children's Hospital of Orange County provides Neurological Surgery Physician services in Orange, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
Specialties on file
2

Practice location Address checks out

1201 W La Veta Ave
Orange, CA 92868-4203 Not confirmed with CMS for 12 years — call before visiting
Phone: (714) 509-8649
Fax: (714) 509-8374
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X (CA)
Pediatric Surgery Physician Taxonomy 2086S0120X (CA)

Record details

NPI number1003159500
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChildren's Hospital OR Orange County
Authorized official Mark Kelly — Director, Business Services · (714) 509-7964
Other names Cs Neuro Surgery
NPI enumeratedApril 3, 2013
Last updated in NPPESOctober 17, 2013
Mailing address1201 W La Veta Ave, Orange, CA 92868-4203

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Orange