Active NPI
Woodbury Associates, LLC
- Medical Specialty Clinic/Center
- Irvine, CA
National Provider Identifier
1124563564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- WOODBURY ASSOCIATES, LLC
- Practice address
- 9891 Irvine Center Dr
Suite 200
Irvine, CA 92618-4317 - Phone
- (949) 232-1988
- Fax
- (949) 232-1983
- NPI assigned
- Dec 20, 2016
- 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
- John Constable
- Title
- Business Manager
- Phone
- (949) 232-1988
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
9891 Irvine Center Dr
Suite 200
Irvine, CA 92618-4317
Mailing address
9891 Irvine Center Dr
Suite 200
Irvine, CA 92618-4317
Phone (949) 232-1988
National Provider Directory
National Provider DirectoryLocations
9891 Irvine Center Dr
Ste 200
Irvine, CA 92618
Phone (949) 299-2929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484784000000",
"number": "1124563564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9891 IRVINE CENTER DR",
"address_2": "SUITE 200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926184317",
"telephone_number": "949-232-1988",
"fax_number": "949-232-1983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9891 IRVINE CENTER DR",
"address_2": "SUITE 200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926184317",
"telephone_number": "949-232-1988",
"fax_number": "949-232-1983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODBURY ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-20",
"last_updated": "2017-01-19",
"status": "A",
"authorized_official_last_name": "CONSTABLE",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "949-232-1988"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"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 Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.