NPIMap

Organization Active NPI

Urgikids

  • Pediatrics Physician
  • Costa Mesa, CA
National Provider Identifier
1043265903
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A29438 Issued in CA
Legal business name
URGIKIDS
Practice address
1190 Baker St
100
Costa Mesa, CA 92626-4108
Phone
(714) 668-2540
Fax
(714) 668-2510
NPI assigned
May 22, 2006
Last updated
Feb 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Andrew Blumberg, M.D
Title
President
Phone
(714) 668-2510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A29438 CA Primary

Addresses

Primary practice location

1190 Baker St
100
Costa Mesa, CA 92626-4108

Mailing address

PO Box 15277
Newport Beach, CA 92659-5277
Phone (714) 668-2540

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1043265903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15277",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926595277",
            "telephone_number": "714-668-2540",
            "fax_number": "714-668-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 BAKER ST",
            "address_2": "100",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264108",
            "telephone_number": "714-668-2540",
            "fax_number": "714-668-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGIKIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "BLUMBERG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-668-2510",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A29438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.