UNIVERSITY OF CALIFORNIA IRVINE (NPI# 1851325906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851325906 |
Entity Type | Organization |
Organization Name | UNIVERSITY OF CALIFORNIA IRVINE |
Other Organization Name | UCI FAMILY HEALTH CENTER - SANTA ANA |
Practice Address |
800 N Main St Santa Ana CA 92701 |
Mailing Address |
1500 S Douglass Rd #200, Rt 183 Anaheim CA 92806-6912 |
Practice Telephone | 7144566785 |
Mailing Telephone | 7145096266 |
Enumeration Date | 2006-07-11 |
Last Update Date | 2019-11-04 |
Authorized Official Name | GINA CHURCHILL (REIMBURSEMENT DIRECTOR) |
Authorized Official Telephone | 7145096266 |
Is Organization Subpart | Y |
Parent Organization Name | UC IRVINE MEDICAL CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
CA | Ambulatory Health Care Facilities | |
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | FHC11874F | 05 | |
CA | G9158701 | 05 | |
CA | HAP11874F | 05 | |
CA | BCP11874F | 05 | |
CA | MEDICARE ID -TPE UNSPECIFIED | W1930 | 01 |
Other Name | Type Code |
---|---|
UCI Family Health Center - Santa Ana | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962716100 | University of California Irvine | General Acute Care Hospital | 333 City Blvd W Ste 2100, Orange, CA 92868-2949 | 2010-07-29 |
1417027475 | University of California Irvine | Clinic/Center | Medical Plaza Dr, Room 1619, Irvine, CA 92697-0001 | 2006-11-08 |
1598790529 | University of California Irvine | Clinic/Center | 2441 W La Palma Ave, Anaheim, CA 92801-2658 | 2006-07-11 |
1548587108 | University of California Irvine | Family Medicine | 800 N Main St, Santa Ana, CA 92701-3576 | 2010-04-22 |
1730349960 | University of California Irvine | Clinic/Center | 800 N Main St, Santa Ana, CA 92701-3576 | 2008-06-11 |
1235318692 | University of California Irvine | Rehabilitation Unit | 101 The City Dr S, Orange, CA 92868-3201 | 2007-11-01 |
1154500510 | University of California Irvine | Psychiatric Unit | 101 The City Dr S, Orange, CA 92868-3201 | 2007-11-01 |
1124041272 | University of California Irvine | Pharmacy | 800 N Main St, Santa Ana, CA 92701-3576 | 2006-07-26 |
1689608150 | University of California Irvine | General Acute Care Hospital | 101 The City Dr S, Orange, CA 92868 | 2006-07-10 |
Street Address |
800 N MAIN ST |
City | SANTA ANA |
State | CA |
Zip Code | 92701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730787151 | Anna Ng | Nurse Practitioner | 800 N Main St, Santa Ana, CA 92701-3576 | 2020-10-16 |
1679102875 | Andrew Phan | Student in an Organized Health Care Education/Training Program | 800 N Main St, Santa Ana, CA 92701-3576 | 2020-04-08 |
1194285965 | So La Lee | Student in an Organized Health Care Education/Training Program | 800 N Main St, Santa Ana, CA 92701-3576 | 2019-03-20 |
1730648510 | Olivia Hayostek | Student in an Organized Health Care Education/Training Program | 800 N Main St, Santa Ana, CA 92701-3576 | 2019-03-19 |
1770042541 | Ariel Murtagh | Student in an Organized Health Care Education/Training Program | 800 N Main St, Santa Ana, CA 92701-3576 | 2019-03-19 |
1366902199 | Antigone Gonis | Student in an Organized Health Care Education/Training Program | 800 N Main St, Santa Ana, CA 92701-3576 | 2019-03-19 |
1184183170 | Heidy Amarilis Sasvin | Student in an Organized Health Care Education/Training Program | 800 N Main St, Santa Ana, CA 92701-3576 | 2019-03-18 |
1760976047 | Namita Kamath Patel | Dietitian, Registered | 800 N Main St, Santa Ana, CA 92701-3576 | 2018-06-19 |
1871098988 | Vincente Philip Lam | Student in an Organized Health Care Education/Training Program | 800 N Main St, Santa Ana, CA 92701-3576 | 2018-03-29 |
1336644129 | Danny Ngo | Student in an Organized Health Care Education/Training Program | 800 N Main St, Santa Ana, CA 92701-3576 | 2018-03-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
1750873758 | Eileen Fernandez | Counselor | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 2018-06-05 |
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Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366990905 | Aaa Comprehensive Healthcare, Inc. | Clinic/Center | 307 E 1st St Ste 1c, Santa Ana, CA 92701-5302 | 2016-09-12 |
1003250093 | Hurtt Family Health Clinic, Inc. | Clinic/Center | 1100b N Tustin Ave Ste Adf, Santa Ana, CA 92705-3505 | 2013-04-22 |
1295082774 | Share Our Selves Corporation | Clinic/Center | 1014 N. Broadway, Santa Ana, CA 92701-3141 | 2012-08-14 |
1134636889 | Southland Integrated Services, Inc. | Clinic/Center | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2018-01-03 |
1598124083 | Vista Community Clinic | Clinic/Center | 1525 E 17th St, Unit #b, Santa Ana, CA 92705-8521 | 2016-02-12 |
1366834400 | Altamed Health Services Corp | Clinic/Center | 1155 W Central Ave, Suites 104-107, Santa Ana, CA 92707-3165 | 2015-02-26 |
1740427657 | Altamed Health Services Corp | Clinic/Center | 1400 N Main St, Santa Ana, CA 92701-2304 | 2009-01-14 |
1730349960 | University of California Irvine | Clinic/Center | 800 N Main St, Santa Ana, CA 92701-3576 | 2008-06-11 |
1760651814 | Altamed Health Services Corp | Clinic/Center | 2720 S Bristol St, Suite 110, Santa Ana, CA 92704-6207 | 2008-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
1821697483 | North East Medical Services | Clinic/Center | 2633 San Bruno Ave, San Francisco, CA 94134-1597 | 2020-10-23 |
1508465303 | Valley Health Team, Inc | Clinic/Center | 459 W Line St Ste C, Bishop, CA 93514-3333 | 2020-10-22 |
1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
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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.