AMISUB IRVINE MEDICAL CENTER), INC. (NPI# 1184655797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184655797 |
| Entity Type | Organization |
| Organization Name | AMISUB IRVINE MEDICAL CENTER), INC. |
| Other Organization Name | IRVINE MEDICAL CENTER |
| Practice Address |
16200 Sand Canyon Ave Irvine CA 92618-3714 |
| Mailing Address |
File 57547 Los Angeles CA 90074-0001 |
| Practice Telephone | 9497532000 |
| Mailing Telephone | 6263004122 |
| Mailing Fax Number | 9497532131 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2018-11-27 |
| Authorized Official Name | MR. CRAIG C. ARMIN (VP OF GOVT PROGRAMS, TENET) |
| Authorized Official Telephone | 3107758040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 060000275 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BC OF CALIFORNIA | 55-5531 | 01 | |
| BS OF CALIFORNIA | ZZZA3025Z | 01 | |
| PACIFICARE OF CALIFORNIA | 004834-0001 | 01 | |
| AETNA US HEALTHCARE (NATI | 295398770 | 01 | |
| HEALTH NET | 8376 | 01 | |
| CA | HSP30693F | 05 | |
| SECTION 1011 | 050693B000000 | 01 | |
| CA | HSP40693F | 05 | |
| HUMANA | 000417 | 01 |
| Other Name | Type Code |
|---|---|
| Irvine Medical Center | Doing Business As Name - Organization |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669668232 | Regents of The University of California-irvine | General Acute Care Hospital | Gottschalk Medical Plaza, One Medical Plaza Drive, Irvine, CA 92697-0001 | 2007-09-18 |
| 1972017465 | Cynthia Chen | General Acute Care Hospital | 16250 Sand Canyon Ave, Irvine, CA 92618-3714 | 2017-11-20 |
| 1992256002 | Optumrx | General Acute Care Hospital | 2300 Main St, Irvine, CA 92614-6223 | 2016-10-24 |
| 1821400383 | Professional Neuromonitoring Corporation | General Acute Care Hospital | 460 Goddard, Irvine, CA 92618-4610 | 2014-06-02 |
| 1073718730 | Kaiser Permanente | General Acute Care Hospital | 6670 Alton Pkwy, Anesthesiology Department 2nd Floor, Irvine, CA 92618-3734 | 2007-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
| 1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
| 1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
| 1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
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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.