Active NPI
Amisub Irvine Medical Center), Inc.
- General Acute Care Hospital
- Irvine, CA
National Provider Identifier
1184655797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 060000275
- Legal business name
- AMISUB IRVINE MEDICAL CENTER), INC.
- Practice address
- 16200 Sand Canyon Ave
Irvine, CA 92618-3714 - Phone
- (949) 753-2000
- NPI assigned
- Jul 5, 2006
- 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
- Mr. Craig C. Armin
- Title
- VP of Govt Programs, Tenet
- Phone
- (818) 436-2267
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 060000275 | CA | Primary |
Addresses
Primary practice location
16200 Sand Canyon Ave
Irvine, CA 92618-3714
Mailing address
File 57547
Los Angeles, CA 90074-0001
Phone (626) 300-4122
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8376 | Other | HEALTH NET | |
| HSP40693F | Medicaid | CA | |
| 004834-0001 | Other | PACIFICARE OF CALIFORNIA | |
| 295398770 | Other | AETNA US HEALTHCARE (NATI | |
| ZZZA3025Z | Other | BS OF CALIFORNIA | |
| 55-5531 | Other | BC OF CALIFORNIA | |
| HSP30693F | Medicaid | CA | |
| 000417 | Other | HUMANA | |
| 050693B000000 | Other | SECTION 1011 |
Other names 1
- Irvine Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 050693
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- IRVINE REGIONAL HOSPITAL & MEDICAL CENTER
- Certification status
- Terminated Voluntary: merger or closure, Feb 19, 2009
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Oct 12, 1990
- Last certification
- Jun 19, 2008
- Beds
- 176
- Ownership / control type
- State
- Facility address
- 16200 Sand Canyon Ave
Irvine, CA 92618
National Provider Directory
National Provider DirectoryLocations
File 57547
Los Angeles, CA 90074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616025600000",
"number": "1184655797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 57547",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900740001",
"telephone_number": "626-300-4122",
"fax_number": "949-753-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16200 SAND CANYON AVE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183714",
"telephone_number": "949-753-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMISUB IRVINE MEDICAL CENTER), INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A",
"authorized_official_last_name": "ARMIN",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "VP OF GOVT PROGRAMS, TENET",
"authorized_official_telephone_number": "818-436-2267",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "060000275",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "8376",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP40693F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE OF CALIFORNIA",
"identifier": "004834-0001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE (NATI",
"identifier": "295398770",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS OF CALIFORNIA",
"identifier": "ZZZA3025Z",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC OF CALIFORNIA",
"identifier": "55-5531",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP30693F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "000417",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECTION 1011",
"identifier": "050693B000000",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Irvine Medical Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Irvine Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}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 Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.