Organization Active NPI

Greenway Med Aesthetics

  • Urgent Care Clinic/Center
  • Irvine, CA
National Provider Identifier
1114529732
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
GREENWAY MED AESTHETICS
Practice address
4 Park PLZ Ste 2050
Irvine, CA 92614-8603
Phone
(949) 503-5111
NPI assigned
Nov 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Authorized official

Name
Dr. Mareen Greenway, MD
Title
Medical Director
Phone
(949) 503-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

4 Park PLZ Ste 2050
Irvine, CA 92614-8603

Mailing address

4 Park PLZ Ste 2050
Irvine, CA 92614-8603
Phone (949) 503-5111

National Provider Directory

National Provider Directory

Locations

4 Park Plz
Ste 2050
Irvine, CA 92614
Phone (949) 503-5111

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1114529732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PARK PLZ STE 2050",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926148603",
            "telephone_number": "949-503-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARK PLZ STE 2050",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926148603",
            "telephone_number": "949-503-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWAY MED AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2022-11-08",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "GREENWAY",
        "authorized_official_first_name": "MAREEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-503-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "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 Nov 8, 2022; 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.