UC IRVINE HEALTH MEDICAL GROUP (NPI# 1649660242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649660242 |
| Entity Type | Organization |
| Organization Name | UC IRVINE HEALTH MEDICAL GROUP |
| Practice Address |
293 S Main St Suite 200 Orange CA 92868-3843 |
| Mailing Address |
Po Box 54509 Los Angeles CA 90054-0509 |
| Practice Telephone | 7148388848 |
| Practice Fax Number | 7147710733 |
| Mailing Telephone | 7144566585 |
| Mailing Fax Number | 7144568101 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |
| Authorized Official Name | ROGER L. CRUMLEY (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 | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922484450 | Uc Irvine Health Medical Group | Clinic/Center | 1451 Irvine Blvd, Tustin, CA 92780-3804 | 2015-08-06 |
| Street Address |
293 S MAIN ST SUITE 200 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700875911 | Kenneth K Tram | Internal Medicine | 293 S Main St, Orange, CA 92868-3843 | 2005-10-19 |
| 1558546341 | Regan Alexander Chan | Family Medicine | 293 S Main St, Suite 200, Orange, CA 92868-3843 | 2007-12-31 |
| 1407910847 | Samuel Lin | Family Medicine | 293 S Main St, Suite 200, Orange, CA 92868-3843 | 2006-12-20 |
| 1538137666 | Bao-thu Thi Nguyen | Ophthalmology | 293 S Main St, Suite 100, Orange, CA 92868-3843 | 2006-03-14 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689070716 | St. Jude Neighborhood Health Centers | Clinic/Center | 363 S Main St # 204, Orange, CA 92868-3833 | 2014-11-18 |
| 1932522307 | Accuquest Hearing Center | Clinic/Center | 790 The City Dr S, Suite 450, Orange, CA 92868-4941 | 2014-01-21 |
| 1366919540 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 1045 N Tustin St, Orange, CA 92867-5904 | 2018-10-25 |
| 1720555907 | American Current Care of California, A Medical Corporation | Clinic/Center | 1045 N Tustin St, Orange, CA 92867-5904 | 2018-10-25 |
| 1669905469 | Irma Jaime | Clinic/Center | 200 N Lewis St, Center for Healthy Living, Orange, CA 92868-1538 | 2017-04-07 |
| 1518203678 | Angel Gomez-garcia Medical Center, Inc. | Clinic/Center | 1310 W Stewart Dr, 309, Orange, CA 92868-3854 | 2012-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658699 | Perennial Medical Services Inc | Clinic/Center | 810 Manhattan Ave, Hermosa Beach, CA 90254-4150 | 2020-10-27 |
| 1841899085 | Eye Glass Specialists Inc. | Clinic/Center | 213 E Foothill Blvd, Rialto, CA 92376-5159 | 2020-10-20 |
| 1134736705 | Boston Medical Center Inc | Clinic/Center | 960 E Green St Ste 101, Pasadena, CA 91106-2401 | 2020-09-28 |
| 1215541628 | Pacific Care II | Clinic/Center | 1024 Jayhawk Way, Modesto, CA 95358-6714 | 2020-09-02 |
| 1316557358 | Breathe Thermae, Inc. | Clinic/Center | 200 S Cahuilla Rd, Palm Springs, CA 92262-6334 | 2020-08-04 |
| 1497363212 | Joana Anjeh Tala | Clinic/Center | 2951 Hampshire Cir, Corona, CA 92879-6133 | 2020-07-17 |
| 1376160580 | Beyond Practice, Inc. | Clinic/Center | 300 W Ocean Blvd Apt 6114, Long Beach, CA 90802-8029 | 2020-07-03 |
| 1205452315 | Affection Healthcare LLC | Clinic/Center | 1641 North Ripon Road, Ripon, CA 95366 | 2020-06-24 |
| 1467074963 | Onclick Healthcare Incorporated | Clinic/Center | 2625 Townsgate Rd Ste 330, Westlake Village, CA 91361-5749 | 2020-05-07 |
| 1811517832 | D.e. Garrison, D.o., Inc. | Clinic/Center | 3209 Esplanade Ste 120, Chico, CA 95973-0154 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on UC IRVINE HEALTH 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.