Organization Active NPI

Citrus Valley Physicians Group

  • Health Maintenance Organization
  • Irvine, CA
National Provider Identifier
1114212685
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
CITRUS VALLEY PHYSICIANS GROUP
Practice address
43 Corporate Park
Suite 206
Irvine, CA 92606-5137
Phone
(949) 474-6999
Fax
(949) 474-6997
NPI assigned
Jun 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Dr. Rajesh Rao, MD
Title
Executive Assistant
Phone
(949) 474-6999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

43 Corporate Park
Suite 206
Irvine, CA 92606-5137

Mailing address

43 Corporate Park
Suite 206
Irvine, CA 92606-5137
Phone (949) 474-6999

National Provider Directory

National Provider Directory

Locations

43 Corporate Park
Ste 206
Irvine, CA 92606
Phone (949) 474-6999

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1114212685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 CORPORATE PARK",
            "address_2": "SUITE 206",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065137",
            "telephone_number": "949-474-6999",
            "fax_number": "949-474-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CORPORATE PARK",
            "address_2": "SUITE 206",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065137",
            "telephone_number": "949-474-6999",
            "fax_number": "949-474-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS VALLEY PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "949-474-6999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.