NPIMap

Organization Active NPI

UC Regents

Doing business as UCI Department of Medicine

  • Allergy & Immunology (Internal Medicine) Physician
  • Orange, CA
National Provider Identifier
1003864174
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
Legal business name
UC REGENTS
Doing business as
UCI Department of Medicine
Practice address
101 The City Dr S
Orange, CA 92868
Phone
(714) 456-8068
Fax
(714) 456-3765
NPI assigned
May 4, 2006
Last updated
Aug 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Dr. Uci Health Provider Relations
Title
Ups Provider Relations
Phone
(714) 456-2986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X NU Primary

Addresses

Primary practice location

101 The City Dr S
Orange, CA 92868

Mailing address

PO Box 31001-2482
Pasadena, CA 91110-2482

Other identifiers 3

IdentifierTypeStateIssuer
ZZZP3010ZOtherCAMEDI-CAL GROUP #
CU0494OtherCARAILROAD MEDICARE GROUP
ZZZ539842ZOtherCABLUE SHIELD GROUP #

Other names 1

  • UCI Department of Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031118000906 CA Part B Supplier - Clinic/Group Practice 7416869516 Receives reassigned benefits from 525 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Corona, CA; Orange, CA

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • UC Regents

    dba UCI Department of Medicine

    • Rheumatology Physician
    • Orange, CA
    • NPI 1003864182

    O20031118000906

    Same enrollment
  • UC Regents

    dba UCI Department of Medicine

    • Internal Medicine Physician
    • Orange, CA
    • NPI 1205884392

    O20031118000906

    Same enrollment
  • UC Regents

    dba UCI Department of Medicine

    • Hematology & Oncology Physician
    • Orange, CA
    • NPI 1356399380

    O20031118000906

    Same enrollment
  • UC Regents

    dba UCI Department of Medicine

    • Endocrinology, Diabetes & Metabolism Physician
    • Orange, CA
    • NPI 1619925153

    O20031118000906

    Same enrollment
  • UC Regents

    dba UCI Department of Medicine

    • Pulmonary Disease Physician
    • Orange, CA
    • NPI 1629026729

    O20031118000906

    Same enrollment
  • UC Regents

    dba UCI Department of Medicine

    • Cardiovascular Disease Physician
    • Orange, CA
    • NPI 1639107139

    O20031118000906

    Same enrollment
  • UC Regents

    dba UCI Department of Medicine

    • Infectious Disease Physician
    • Orange, CA
    • NPI 1760430847

    O20031118000906

    Same enrollment
  • UC Regents

    dba UCI Department of Medicine

    • Gastroenterology Physician
    • Orange, CA
    • NPI 1902854078

    O20031118000906

    Same enrollment
  • UC Regents

    dba UCI Department of Medicine

    • Nephrology Physician
    • Orange, CA
    • NPI 1942258033

    O20031118000906

    Same enrollment

National Provider Directory

National Provider Directory
Tax ID family
UC Regents25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1003864174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-2482",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911102482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-456-8068",
            "fax_number": "714-456-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC REGENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "PROVIDER RELATIONS",
        "authorized_official_first_name": "UCI HEALTH",
        "authorized_official_title_or_position": "UPS PROVIDER RELATIONS",
        "authorized_official_telephone_number": "714-456-2986",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL GROUP #",
            "identifier": "ZZZP3010Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CU0494",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "ZZZ539842Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCI Department of Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.