IRVINE PROFESSIONAL MEDICAL GROUP, INC (NPI# 1568702835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568702835 |
| Entity Type | Organization |
| Organization Name | IRVINE PROFESSIONAL MEDICAL GROUP, INC |
| Other Organization Name | IRVINE PROFESSIONAL MEDICAL GROUP, INC |
| Practice Address |
3500 Barranca Pkwy Suite 330 Irvine CA 92606-8226 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 9495528217 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |
| Authorized Official Name | KENNY HEINE (VP OPS) |
| Authorized Official Telephone | 8589641506 |
| 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 | A107209 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| IRVINE PROFESSIONAL MEDICAL GROUP, INC | Doing Business As Name - Organization |
| Street Address |
3500 BARRANCA PKWY SUITE 330 |
| City | IRVINE |
| State | CA |
| Zip Code | 92606-8226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639119118 | Frank D Yelian | Obstetrics & Gynecology | 3500 Barranca Pkwy, Suite 300, Irvine, CA 92606-8226 | 2006-06-07 |
| 1538533583 | Surgicare of La Veta, Ltd. | Clinic/Center | 3500 Barranca Pkwy, Suite 130, Irvine, CA 92606-8226 | 2015-11-13 |
| 1649513987 | Alexander Andrew Lui | Physical Therapist | 3500 Barranca Pkwy, Suite 220, Irvine, CA 92606-8226 | 2013-04-05 |
| 1669714044 | Sherwin De Guzman | Physical Therapist | 3500 Barranca Pkwy, Suite 220, Irvine, CA 92606-8226 | 2013-03-22 |
| 1922356377 | Ruth Marie Olivia Meltzer | Physical Therapist | 3500 Barranca Pkwy, Suite 220, Irvine, CA 92606-8226 | 2012-08-16 |
| 1871840215 | Lauren Cambra | Physical Therapist | 3500 Barranca Pkwy, Suite 220, Irvine, CA 92606-8226 | 2012-08-03 |
| 1366725590 | Pediatric Dermatology of Orange County PC | Dermatology | 3500 Barranca Pkwy, Ste 160, Irvine, CA 92606-8226 | 2011-09-23 |
| 1659666964 | Seon Ryang Kim | Acupuncturist | 3500 Barranca Pkwy, #330, Irvine, CA 92606-8226 | 2011-06-15 |
| 1346554904 | Life Ivf Center | Clinic/Center | 3500 Barranca Pkwy, Suite 300, Irvine, CA 92606-8226 | 2010-08-05 |
| 1376863795 | Serene Sleep Management, LLC | Clinic/Center | 3500 Barranca Pkwy, Ste 150, Irvine, CA 92606-8226 | 2010-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912384967 | Roxanne Betancourt | Behavioral Analyst | 16782 Von Karman Avenue Suite 11, Irvine, CA 92606 | 2015-04-29 |
| 1942552096 | East Haradin | Acupuncturist | 3 Corporate Park, Irvine, CA 92606 | 2012-10-12 |
| 1730434622 | Fountain Modern Dentistry and Orthodontics, LLP | Dentist | 2860 Michelle Drive 2nd Floor, Irvine, CA 92606 | 2012-07-17 |
| 1205100898 | Maria Del Pilar Aguero | Marriage & Family Therapist | 20 Corporate Park #118, Irvine, CA 92606 | 2012-02-29 |
| 1013292077 | Hanah &health, Inc. | Acupuncturist | 2691 Richter Ave Suite 120, Irvine, CA 92606 | 2011-10-20 |
| 1831474345 | Elham Shoja | Psychologist | 8 Corporate Park Suite 300, Irvine, CA 92606 | 2011-10-15 |
| 1154631869 | Frances Lam | Acupuncturist | 2400 Alton Ave., Ste. 208, Irvine, CA 92606 | 2010-10-15 |
| 1174848055 | Oc Physical Therapy Corporation | Clinic/Center | 62 Coporate Park, 145, Irvine, CA 92606 | 2010-04-02 |
| 1770714941 | Yuhong She | Obstetrics & Gynecology | 3500 Barranca Parkway, Ste. 230, Irvine, CA 92606 | 2009-08-05 |
| 1235396136 | Kevin K Lim | Dentist | 16525 Von Karman Ave, #f, Irvine, CA 92606 | 2008-05-19 |
| Find all providers in zip 92606 | ||||
| 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 |
| 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 |
| 1336443027 | Brent E Silvers, Md Inc | Non-Pharmacy Dispensing Site | 2 Hughes, Ste 150, Irvine, CA 92618-2056 | 2011-01-10 |
| Find all providers in IRVINE | ||||
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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.