REGENTS OF UNIVERSITY OF CALIFORNIA (NPI# 1003001009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003001009 |
| Entity Type | Organization |
| Organization Name | REGENTS OF UNIVERSITY OF CALIFORNIA |
| Practice Address |
19262 Jamboree Rd Irvine CA 92612-2502 |
| Practice Telephone | 9498242343 |
| Practice Fax Number | 9498248737 |
| Mailing Telephone | 9498242343 |
| Mailing Fax Number | 9498248737 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-14 |
| Authorized Official Name | PROF. RONALD A KOTKIN (CLINICAL PROFESSOR) |
| Authorized Official Telephone | 9498246292 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY12351 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912186628 | Regents of University of California | Psychologist | 19722 Macarthur Blvd, Uci-child Development Center, Irvine, CA 92612-2404 | 2007-10-30 |
| 1528253499 | Regents of University of California | Psychologist | 19722 Macarthur Blvd, Irvine, CA 92612-2404 | 2007-09-13 |
| 1356476865 | Regents of University of California | Dentist | 10833 Le Conte Ave, Chs 10 -165, Los Angeles, CA 90095-1668 | 2007-02-23 |
| 1659419638 | Regents of University of California | Internal Medicine | 155 N Fresno St, Fresno, CA 93701-2302 | 2007-02-02 |
| 1821014374 | Regents of University of California | Clinical Neuropsychologist | 2335 E Kashian Ln Ste 301, Fresno, CA 93701-2234 | 2006-07-15 |
| Street Address |
19262 JAMBOREE RD |
| City | IRVINE |
| State | CA |
| Zip Code | 92612-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033319405 | Erica Reyes Nguyen | Counselor | 19262 Jamboree Rd, Irvine, CA 92612-2502 | 2007-07-23 |
| 1427365659 | The University of California, Irvine - Child Development Center | Community/Behavioral Health | 19262 Jamboree Rd, Irvine, CA 92612-2502 | 2010-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615984 | Sara Afsharpour | Marriage & Family Therapist | 2001 Business Center Dr, # 150, Irvine, CA 92612 | 2019-12-05 |
| 1952959207 | Dorothy Dawn Malsack | Dietitian, Registered | 20 Pergola, Irvine, CA 92612 | 2019-08-29 |
| 1992350508 | Masi Hashemian Dds Inc | Dentist | Park Place Dentistry, 2981 Michelson Dr., Suite #b, Irvine, CA 92612 | 2019-08-09 |
| 1518426907 | Linklan Logistics Inc | Transportation Broker | 19200 Von Karman Ave Ste 612, Irvine, CA 92612 | 2019-03-15 |
| 1598220535 | Dorise Hebenstreit | Marriage & Family Therapist | 2151 Michelson Dr Ste 286, Irvine, CA 92612 | 2019-02-04 |
| 1871033365 | Livhome, Inc. | In Home Supportive Care | 19762 Macarhtur Blvd, Suite 120, Irvine, CA 92612 | 2017-03-02 |
| 1073061511 | Susan Nguyen | Marriage & Family Therapist | 2081 Business Center Dr Ste 109, Irvine, CA 92612 | 2016-09-13 |
| 1043617574 | Jason Polhamus | Community Health Worker | 4885 Royce Rd, Irivne, CA 92612 | 2014-11-26 |
| 1013313386 | Marisa Lepore | Marriage & Family Therapist | 19742 Centerpointe Plaza, Suite #125, Irvine, CA 92612 | 2014-11-13 |
| 1558798462 | Fatima Manesh | Acupuncturist | 8 Palmento Way, Irvine, CA 92612 | 2013-10-09 |
| Find all providers in zip 92612 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669539250 | Maryam Sayyedi | Psychologist | 2101 Business Center Dr Ste 150, Irvine, CA 92612-1022 | 2007-01-02 |
| 1649529850 | Maryam Sayyedi Inc | Psychologist | 4199 Campus Dr, Suite #550, Irvine, CA 92612-4684 | 2012-09-04 |
| 1912186628 | Regents of University of California | Psychologist | 19722 Macarthur Blvd, Uci-child Development Center, Irvine, CA 92612-2404 | 2007-10-30 |
| 1528253499 | Regents of University of California | Psychologist | 19722 Macarthur Blvd, Irvine, CA 92612-2404 | 2007-09-13 |
| 1063632313 | Zena Denise Polly | Psychologist | 111 Pacifica, Suite 125, Irvine, CA 92618-3310 | 2007-04-27 |
| 1194847350 | Michelle Aimee Fortier | Psychologist | 1 Medical Plaza Dr, Irvine, CA 92697-0001 | 2007-04-06 |
| 1255402657 | Laurence David Becker | Psychologist | 7 Corporate Park, Suite 250, Irvine, CA 92606-5107 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631312 | Kathleen Carroll-wray | Psychologist | 818 W 7th St Ste 930, Los Angeles, CA 90017-3476 | 2020-08-26 |
| 1568082113 | Laura Adery | Psychologist | 760 Westwood Plz # 27-448, Los Angeles, CA 90095-8353 | 2020-04-23 |
| 1073148938 | Kristine Fleming | Psychologist | 4309 Campbell Dr, Pittsburg, CA 94565-6017 | 2020-03-11 |
| 1730711375 | Benjamin Alpert, Psyd, A Psychological Corporation | Psychologist | 2525 Camino Del Rio S Ste 305 Office2, San Diego, CA 92108-3717 | 2020-02-11 |
| 1073144010 | Melissa Alexis Ramirez | Psychologist | 1514 Caminito Soria Unit 2, Chula Vista, CA 91913-2503 | 2020-01-29 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1184264533 | New Vision Counseling Center | Psychologist | 8050 La Mesa Blvd, La Mesa, CA 91942-0335 | 2020-01-14 |
| 1235778614 | Jessica Herbold | Psychologist | 1044 Sir Francis Drake Blvd Ste 7, Kentfield, CA 94904-1454 | 2020-01-02 |
| 1003478405 | Melissa Berrenge-browde | Psychologist | 820 Bay Avenue, Suite 205, Capitola, CA 95010-2102 | 2019-07-05 |
| 1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.