Universal Vision Medical Center Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A69006 Issued in CA

Legal business name

UNIVERSAL VISION MEDICAL CENTER INC

Practice address

1503 S Coast Dr Ste 120
Costa Mesa, CA 92626-1526

Phone

(310) 407-5440

Fax

(310) 407-5441

NPI assigned

Apr 15, 2008

Organization subpart

No

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

Authorized official

Name

Farnoosh Tinoosh, MDNPI 1386796209

Title

Owner

Phone

(310) 407-5440

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Farnoosh Tinoosh, M.D.

  • Ophthalmology Physician
  • Orange, CA
  • NPI 1386796209
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1124292628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 S COAST DR STE 120",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261526",
            "telephone_number": "310-407-5440",
            "fax_number": "310-407-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 S COAST DR STE 120",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261526",
            "telephone_number": "310-407-5440",
            "fax_number": "310-407-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL VISION MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "TINOOSH",
        "authorized_official_first_name": "FARNOOSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-407-5440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A69006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENCE",
            "identifier": "A69006",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jesus Orlando Uriarte

• Ophthalmology Physician in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.