Individual provider Active NPI

Omid Vesal, M.D.

  • Internal Medicine Physician
  • Irvine, CA
National Provider Identifier
1003856204
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A73459 Issued in CA
Practice address
2500 Alton Parkway
Suite 101
Irvine, CA 92606-5032
Phone
(949) 222-2722
Fax
(949) 222-9969
NPI assigned
Jun 7, 2006
Last updated
Dec 21, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A73459 CA Primary

Addresses

Primary practice location

2500 Alton Parkway
Suite 101
Irvine, CA 92606-5032

Mailing address

2500 Alton Parkway
Suite 101
Irvine, CA 92606-5032
Phone (949) 222-2722

Other identifiers 3

IdentifierTypeStateIssuer
00A734590OtherCAMEDICAL PIN
ZZZ02120ZOtherCAMEDICARE GROUP PIN
00A734590OtherCABLUE SHIELD PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060420000170 CA Practitioner - Internal Medicine 7214946250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omid Vesal, MD, Medical CorporationGroup PAC ID 3779592712, 2 clinicians

Practice addresses (Care Compare)

2500 Alton Pkwy
Suite 101
Irvine, CA 92606-5032
Phone (949) 222-2722

Merit-based Incentive Payment System (MIPS)

Final score
19.27 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
64.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue29
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A73459CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Coast Advanced Imaging Current Accepting new patients
Omid Vesal, MD, Medical Corporation Current Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

2500 Alton Pkwy
Ste 101
Irvine, CA 92606
Phone (949) 222-2722

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1003856204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ALTON PARKWAY",
            "address_2": "SUITE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065032",
            "telephone_number": "949-222-2722",
            "fax_number": "949-222-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ALTON PARKWAY",
            "address_2": "SUITE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065032",
            "telephone_number": "949-222-2722",
            "fax_number": "949-222-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESAL",
        "first_name": "OMID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A73459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PIN",
            "identifier": "00A734590",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "ZZZ02120Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "00A734590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.