NPIMap

Organization Active NPI

UC Irvine Medical Center- Geriatrics, Primary Care

  • Multi-Specialty Clinic/Center
  • Orange, CA
National Provider Identifier
1184002198
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
UC IRVINE MEDICAL CENTER- GERIATRICS, PRIMARY CARE
Practice address
101 The City Dr S
Senior Center, Pav IV
Orange, CA 92868-3201
Phone
(714) 456-7007
Fax
(714) 456-2890
NPI assigned
May 11, 2015
Last updated
May 11, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Manuel Porto, MD
Title
Interim President
Phone
(714) 456-2986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

101 The City Dr S
Senior Center, Pav IV
Orange, CA 92868-3201

Mailing address

PO Box 54509
Los Angeles, CA 90054-0509
Phone (714) 456-3856

National Provider Directory

National Provider Directory
Tax ID family
UC Regents25 organizations share this tax ID, including this one
Part of
Uci Student Health Center Pharmacy

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1184002198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54509",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900540509",
            "telephone_number": "714-456-3856",
            "fax_number": "714-456-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "address_2": "SENIOR CENTER, PAV IV",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-456-7007",
            "fax_number": "714-456-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC IRVINE MEDICAL CENTER- GERIATRICS, PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "PORTO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "INTERIM PRESIDENT",
        "authorized_official_telephone_number": "714-456-2986",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.