Active NPI
Greenway Med Aesthetics
- Urgent Care Clinic/Center
- Irvine, CA
National Provider Identifier
1114529732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.