UC IRVINE MEDICAL CENTER (NPI# 1720539711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720539711 |
| Entity Type | Organization |
| Organization Name | UC IRVINE MEDICAL CENTER |
| Practice Address |
101 The City Drive South, Senior Center, Pavilion Iv Uc Irvine Medical Center - Geriatrics, Primary Care Orange CA 92868-3201 |
| Mailing Address |
Po Box 513228 Los Angeles CA 90051-3228 |
| Practice Telephone | 7144562332 |
| Practice Fax Number | 7144565997 |
| Mailing Telephone | 7144566585 |
| Mailing Fax Number | 7144568101 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |
| Authorized Official Name | DR. MANUEL PORTO (PRESIDENT) |
| Authorized Official Telephone | 7144562986 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215391776 | Uc Irvine Medical Center | General Acute Care Hospital | 19150 Summit Ridge Dr, Walnut, CA 91789-4537 | 2016-04-11 |
| 1427393610 | Uc Irvine Medical Center | Clinic/Center | 1915 W. Orangewood Ave., Suite 200, Orange, CA 92868-2047 | 2012-11-29 |
| 1073867859 | Uc Irvine Medical Center | General Acute Care Hospital | 1840 Park Newport Apt 203, Newport Beach, CA 92660-5054 | 2012-11-01 |
| 1851755961 | Uc Irvine Medical Center | General Acute Care Hospital | 200 S Manchester Ave Ste 100, Orange, CA 92868-3221 | 2016-04-06 |
| 1356701304 | Uc Irvine Medical Center | General Acute Care Hospital | 200 S Manchester Ave Ste 100, Orange, CA 92868-3221 | 2016-03-03 |
| 1134560790 | Uc Irvine Medical Center | Clinic/Center | 200 S Manchester Ave, Suite 110, Orange, CA 92868-3217 | 2013-07-11 |
| 1841513611 | Uc Irvine Medical Center | General Acute Care Hospital | 101 The City Dr S, Route 140, Orange, CA 92868-3201 | 2010-03-09 |
| 1881779379 | Uc Irvine Medical Center | General Acute Care Hospital | 101 The City Dr S, Bldg 56 Suite 600, Orange, CA 92868-3201 | 2006-10-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UC IRVINE MEDICAL CENTER | 101 The City Drive, Orange, CA 92868-3201 |
| Street Address |
101 THE CITY DRIVE SOUTH, SENIOR CENTER, PAVILION IV UC IRVINE MEDICAL CENTER - GERIATRICS, PRIMARY CARE |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3201 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982179784 | Wellness Primary Care Pllc | Clinic/Center | 291 S Lambert Rd Ste 5, Orange, CT 06477-3559 | 2018-10-08 |
| 1003263310 | Zhihong Acupuncture Clinic Co | Clinic/Center | 2950 N Glassell St, Suite B, Orange, CA 92865 | 2016-05-17 |
| 1346503430 | Siena Management Group | Clinic/Center | 1439 W Chapman Ave # 347, Orange, CA 92868-2738 | 2012-06-22 |
| 1124356043 | Chj Diagnostic, Inc. | Clinic/Center | 550 E Chapman Ave, Suite E, Orange, CA 92866-1641 | 2009-12-04 |
| 1265604078 | Juan M Velez, Md, Inc | Clinic/Center | 805 W La Veta Ave Ste 101, Orange, CA 92868-3928 | 2008-04-01 |
| 1487831665 | Bedros H Kojian Md Inc | Clinic/Center | 1310 W Stewart Dr Ste 308, Orange, CA 92868-3838 | 2008-01-30 |
| 1679635569 | Rehabilitation Institute of Southern Ca | Clinic/Center | 1800 East La Veta Avenue, Orange, CA 92866 | 2006-12-15 |
| 1104846708 | Gulf Gate Diagnostic Imaging | Clinic/Center | 1 Putnam Ave, Orange, TX 77630-2353 | 2006-07-20 |
| 1316572183 | Michael B. Mortazie, D.o. Inc. | Clinic/Center | 1506 E Chapman Ave, Orange, CA 92866-2231 | 2020-03-11 |
| 1104310408 | Sundog Therapy Services, Inc. | Clinic/Center | 585 N Olive St, Orange, CA 92867 | 2018-06-20 |
| Find all providers in ORANGE | ||||
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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.