IRVINE EMERGENCY PHYSICIANS MEDICAL GROUP (NPI# 1164454666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164454666 |
| Entity Type | Organization |
| Organization Name | IRVINE EMERGENCY PHYSICIANS MEDICAL GROUP |
| Practice Address |
16200 Sand Canyon Ave Irvine CA 92618-3714 |
| Mailing Address |
2 San Rafael Pl Laguna Niguel CA 92677-7622 |
| Practice Telephone | 9497532000 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-09-07 |
| Authorized Official Name | MATTHEW MULLARKY (PRESIDENT) |
| Authorized Official Telephone | 8009623303 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0067300 | 05 |
| Street Address |
16200 SAND CANYON AVE |
| City | IRVINE |
| State | CA |
| Zip Code | 92618-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588660849 | Scott A Derkum | Internal Medicine | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 | 2005-06-22 |
| 1609473149 | Anna Marker | Pharmacist | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 | 2020-10-07 |
| 1386279172 | Kristi Lebesco | Registered Nurse | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 | 2020-03-11 |
| 1336773688 | Emily Takei | Physical Therapist | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 | 2020-02-25 |
| 1407495351 | Connie Love | Nurse Practitioner | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 | 2019-12-24 |
| 1134548639 | Brett Stephen Morenz | Internal Medicine | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 | 2014-04-11 |
| 1639507247 | Achieve Medical Group Inc | Hospitalist | 16200 Sand Canyon Ave, Hoag Hospital, Irvine, CA 92618-3714 | 2013-10-16 |
| 1790043651 | John Chien | Internal Medicine | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 | 2012-04-30 |
| 1578820155 | Ahmed Aly Elrefaie | Emergency Medicine | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 | 2012-04-19 |
| 1649560913 | Karin Elizabeth Reed | Emergency Medicine | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 | 2011-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982306 | Zermina Akbary | Registered Nurse | 131 Theme, Irvine, Irvine, CA 92618 | 2020-05-04 |
| 1760028575 | Leibow Psychology Group, PC | Counselor | 7725 Gateway #4203, Irvine, CA 92618 | 2019-11-27 |
| 1790263713 | Jw Professional Dental Corporation | Dentist | 14785 Jeffrey Rd. Ste 200, Irvine, CA 92618 | 2018-08-01 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1952899221 | Oneness Health Group Inc | Chiropractor | 25 Deergrass, Irvine, CA 92618 | 2018-04-23 |
| 1144738899 | Morvarid Emamy | Dentist | 23448 Spectrum, Irvine, CA 92618 | 2018-01-16 |
| 1083123194 | Ning Wang | Behavioral Analyst | 9844 Research Dr Ste 100, Irvine, CA 92618 | 2017-09-21 |
| 1043679715 | Dent All By Dr. Z | Dentist | 15362 Alton Parkway, Irvine, CA 92618 | 2016-02-23 |
| 1265897862 | Whitney Elyse Davies | Physical Therapist | 26650 Alton Parkway, Irvine, CA 92618 | 2015-12-23 |
| 1245619295 | Nora Witt | Registered Nurse | 16205 Sand Canyon Avenue, Suite 100, Irvine, CA 92618 | 2015-05-22 |
| Find all providers in zip 92618 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568000131 | Larry M Owens | Emergency Medicine | 22 Mercy Ct, Irvine, KY 40336-1331 | 2019-12-14 |
| 1669592614 | Kenneth T. Miller | Emergency Medicine | 1 Fire Authority Rd, Irvine, CA 92602-0125 | 2007-03-30 |
| 1114952850 | Caroline M. Han | Emergency Medicine | 16100 Sand Canyon Ave, Suite 150, Irvine, CA 92618-3716 | 2006-07-11 |
| 1821044082 | Steven Lin | Emergency Medicine | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 | 2006-05-26 |
| 1891741609 | Ann Ullrich | Emergency Medicine | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 | 2006-05-25 |
| 1164477410 | Thomas K Ryu | Emergency Medicine | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 | 2006-05-24 |
| 1790738292 | Albert S Jin | Emergency Medicine | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576576 | Thethong P Thepvong | Emergency Medicine | 900 W Belgravia Ave, Fresno, CA 93706-3909 | 2020-10-21 |
| 1003441148 | Heather K Mineo | Emergency Medicine | 1908 Spahn Ln, Placentia, CA 92870-2844 | 2020-03-10 |
| 1407497837 | Jaskaranpreet Kaur Sahota | Emergency Medicine | 426 4th Street, Marysville, CA 95901 | 2019-10-07 |
| 1215493515 | Karla Beatriz Sonnier | Emergency Medicine | 17822 Cardiff Cir, Huntington Beach, CA 92649-4807 | 2019-02-12 |
| 1568992923 | American Specialty Physicians Group Inc | Emergency Medicine | 700 17th St Ste 205, Modesto, CA 95354-1249 | 2017-06-18 |
| 1841659067 | George Michael Savage | Emergency Medicine | 2600 Bridge Parkway, Proteus Digital Health, Redwood City, CA 94065 | 2016-02-16 |
| 1053779553 | Robert Alan Hochman | Emergency Medicine | 526 Firecrest Court, Newbury Park, CA 91320-5022 | 2016-01-29 |
| 1578954319 | Amerco Health Enterprise, Inc | Emergency Medicine | 1006 E Bastanchury Rd, Fullerton, CA 92835-2782 | 2015-02-16 |
| 1134543945 | Francine Vogler | Emergency Medicine | 22631 Pacific Coast Highway, #796, Malibu, CA 90265 | 2014-02-13 |
| 1396081659 | Kent Benedict | Emergency Medicine | 3283 Valencia Ave, Aptos, CA 95003-4122 | 2012-12-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on IRVINE EMERGENCY PHYSICIANS MEDICAL GROUP.
| 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.