UC IRVINE MEDICAL CENTER- GERIATRICS, PRIMARY CARE (NPI# 1184002198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184002198 |
Entity Type | Organization |
Organization Name | UC IRVINE MEDICAL CENTER- GERIATRICS, PRIMARY CARE |
Practice Address |
101 The City Dr S Senior Center, Pav Iv Orange CA 92868-3201 |
Mailing Address |
Po Box 54509 Los Angeles CA 90054-0509 |
Practice Telephone | 7144567007 |
Practice Fax Number | 7144562890 |
Mailing Telephone | 7144563856 |
Mailing Fax Number | 7144568101 |
Enumeration Date | 2015-05-11 |
Last Update Date | 2015-05-11 |
Authorized Official Name | MANUEL PORTO (INTERIM PRESIDENT) |
Authorized Official Telephone | 7144562986 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Street Address |
101 THE CITY DR S SENIOR CENTER, PAV IV |
City | ORANGE |
State | CA |
Zip Code | 92868-3201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538163126 | Melvin Leon Seard | Urology | 101 The City Dr S, Orange, CA 92868-3201 | 2005-06-10 |
1164022448 | Kwang Yeon Carol Lee | Nurse Practitioner | 101 The City Dr S, Orange, CA 92868-3298 | 2020-10-27 |
1679172092 | Ghazal Noory | Nurse Practitioner | 101 The City Dr S, Orange, CA 92868-3201 | 2020-10-19 |
1629676721 | Wendee H Montes-rodriguez | Nurse Practitioner | 101 The City Dr S, Orange, CA 92868-3298 | 2020-10-12 |
1295342152 | Norma Gabriela Orellana | Nurse Practitioner | 101 The City Dr S, Orange, CA 92868-3201 | 2020-09-24 |
1225642903 | Michelle Nguyen | Registered Nurse | 101 The City Dr S, Orange, CA 92868-3298 | 2020-09-01 |
1861017873 | Valerie Isaree Pooudomsak | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Orange, CA 92868-3201 | 2020-06-15 |
1629692330 | Denise Gabriella Tafoya | Nurse Anesthetist, Certified Registered | 101 The City Dr S, Orange, CA 92868-3201 | 2020-05-29 |
1063034650 | Dai Phuong Nguyen | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Orange, CA 92868-3201 | 2020-05-18 |
1063034692 | Kaitlin Dempsey | Nurse Anesthetist, Certified Registered | 101 The City Dr S, Orange, CA 92868-3201 | 2020-05-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
Find all providers in zip 92868 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1952470957 | Utmb Regional Maternal and Child Health Program | Clinic/Center | 2014 10th St, Orange, TX 77630-3431 | 2006-11-06 |
1568911303 | Choc Children's Subspecialty Clinic- Pulmonary | Clinic/Center | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2016-09-21 |
1881988632 | Regents of The University of California | Clinic/Center | 101 The City Dr S, Orange, CA 92868-3201 | 2011-06-08 |
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1104432673 | Aleracare Medical Group of California | Clinic/Center | 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 | 2020-09-21 |
1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
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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.