IRVINE INTERNAL MEDICAL GROUP, INC. (NPI# 1124263280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124263280 |
Entity Type | Organization |
Organization Name | IRVINE INTERNAL MEDICAL GROUP, INC. |
Practice Address |
4870 Barranca Pkwy 330 Irvine CA 92604-4709 |
Mailing Address |
5810 Nancy Ridge Dr 100 San Diego CA 92121-2834 |
Practice Telephone | 9496535810 |
Enumeration Date | 2008-12-03 |
Last Update Date | 2008-12-03 |
Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
Authorized Official Telephone | 8586252990 |
Is Organization Subpart | Y |
Parent Organization Name | MEDVANTX, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | A54819 | CA | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952355315 | Irvine Internal Medical Group, Inc. | Internal Medicine | 22 Odyssey Ste 140, Irvine, CA 92618-3193 | 2006-05-20 |
Street Address |
4870 BARRANCA PKWY 330 |
City | IRVINE |
State | CA |
Zip Code | 92604-4709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568437440 | Amdc | Family Medicine | 4870 Barranca Pkwy, Suite 110, Irvine, CA 92604-4709 | 2006-02-22 |
1215327077 | Victoria E Sun | Registered Nurse | 4870 Barranca Pkwy, Suite 110, Irvine, CA 92604-4709 | 2015-02-02 |
1275871246 | Jamie Beth Sanders | Nurse Practitioner | 4870 Barranca Pkwy, Ste 110, Irvine, CA 92604-4709 | 2013-01-24 |
1649537168 | Christine Ann Russo | Physical Therapist | 4870 Barranca Pkwy, #340, Irvine, CA 92604-4709 | 2012-04-22 |
1629398490 | Jacqueline Leon | Pediatrics | 4870 Barranca Pkwy, Suite 300, Irvine, CA 92604-4709 | 2010-06-03 |
1053645333 | Marie J. Galvan Renella | Physician Assistant | 4870 Barranca Pkwy, Suite 305, Irvine, CA 92604-4709 | 2009-09-19 |
1942435433 | Jennifer Lee Altman Birkhauser | Pediatrics | 4870 Barranca Pkwy, Ste 300, Irvine, CA 92604-4709 | 2009-05-27 |
1619117843 | Nancy G Murray | Physician Assistant | 4870 Barranca Pkwy, Suite #350, Irvine, CA 92604-4709 | 2009-02-27 |
1629245790 | Tara O'connell | Emergency Medicine | 4870 Barranca Pkwy, Ecu Dept, Irvine, CA 92604-4709 | 2008-05-08 |
1992994792 | Herbert H. Lee, Md, M.p.h., Inc. | Internal Medicine | 4870 Barranca Pkwy, #300, Irvine, CA 92604-4709 | 2007-10-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
Find all providers in zip 92604 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306384375 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 3355 Michelson Dr, Suite 490, Irvine, CA 92612-0684 | 2017-02-09 |
1396283453 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 57 Prism, Irvine, CA 92618-3148 | 2017-02-08 |
1427596212 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 3345 Michelson Dr, Suite 350, Irvine, CA 92612-0692 | 2017-02-01 |
1306384185 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 4 Park Plz, Suite 150, Irvine, CA 92614-8560 | 2017-02-01 |
1306383427 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 52 Discovery, Irvine, CA 92618-3105 | 2017-01-26 |
1003284258 | South Coast Medical Center for New Medicine, Inc. | Non-Pharmacy Dispensing Site | 6 Hughes Ste 100, Irvine, CA 92618-2060 | 2015-09-04 |
1568702835 | Irvine Professional Medical Group, Inc | Non-Pharmacy Dispensing Site | 3500 Barranca Pkwy, Suite 330, Irvine, CA 92606-8226 | 2013-02-25 |
1992057897 | Artisan Foot and Ankle Specialist, Inc | Non-Pharmacy Dispensing Site | 22 Odyssey, Irvine, CA 92618-3186 | 2012-10-03 |
1932474780 | Edward A. Balbas, PC | Non-Pharmacy Dispensing Site | 17264 Red Hill Ave, Irvine, CA 92614-5628 | 2012-03-13 |
1114299948 | Joseph Medical Group, Inc. | Non-Pharmacy Dispensing Site | 15775 Laguna Canyon Rd, Ste 210, Irvine, CA 92618-3189 | 2012-02-09 |
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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.