Regents of the University of California

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF 11748 Issued in CA

Legal business name

REGENTS OF THE UNIVERSITY OF CALIFORNIA

Doing business as

UC Irvine HLA Tissue Typing Lab

Practice address

101 The City Dr S BLDG 23
Orange, CA 92868-3201

Phone

(714) 456-5889

Fax

(714) 456-3964

NPI assigned

May 27, 2009

Last updated

May 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard S Newman, MD

Title

Medical Director

Phone

(714) 456-6936

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• UC Irvine HLA Tissue Typing Lab Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Eric Selsted, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • Los Angeles, CA
  • NPI 1629158878
  NPD

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1174758650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "D440 MED SCI 1 ZOT 4800",
            "address_2": "UNIVERSITY OF CALIFORNIA",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926970001",
            "telephone_number": "949-824-7071",
            "fax_number": "949-824-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S BLDG 23",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-456-5889",
            "fax_number": "714-456-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-456-6936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 11748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D1002946",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UC Irvine HLA Tissue Typing Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regents of the University of (UC Irvine Department of Family Medicine)
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• Regents of the University of California (UC Irvine Pathology Services)
• Regents of the University of California (Manchester Surgical Pavilion-UCI)
• Regents of the University of California (Plastic Surgery Division UCI)
• Regents of the University of California (OB-GYN University Associates)
• Regents of the University of California (Orthopaedic Faculty of Irvine)
• Regents of the University of California (UCI, Dept of Medicine)

• Clinical Medical Laboratory in Orange, CA
• Providers in Orange, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.