Organization Active NPI

Woodbury Associates, LLC

  • Medical Specialty Clinic/Center
  • Irvine, CA
National Provider Identifier
1124563564
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
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

Updated by the provider on Jan 19, 2017

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.