Organization Active NPI

Time Unwind Medical Group, Inc.

  • General Practice Physician
  • Irvine, CA
National Provider Identifier
1194155945
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A86542 Issued in CA
Legal business name
TIME UNWIND MEDICAL GROUP, INC.
Practice address
16460 Bake Pkwy
Irvine, CA 92618-4665
Phone
(949) 333-3663
NPI assigned
Nov 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Dr. Raihan U. Haque, M.D.
Title
C.E.O./Owner
Phone
(949) 333-3663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A86542 CA Primary

Addresses

Primary practice location

16460 Bake Pkwy
Irvine, CA 92618-4665

Mailing address

PO Box 54003
Irvine, CA 92619-4003
Phone (949) 333-3663

Other practice location 1

41990 Cook St Ste B202
Palm Desert, CA 92211-6101
Phone (800) 898-3736

Other names 7

  • Dr. Freeze Doing business as
  • Dr. Neo Doing business as
  • Dr. Sculpt Doing business as
  • Dr. Veins Doing business as
  • Dr. Vigor Doing business as
  • Smooth M.D. Doing business as
  • Dr. Food Medical Group Former legal business name

National Provider Directory

National Provider Directory

Locations

16460 Bake Pkwy
Irvine, CA 92618
Phone (800) 898-3736

41990 Cook St
Ste B202
Palm Desert, CA 92211
Phone (800) 898-3736

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1194155945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54003",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926194003",
            "telephone_number": "949-333-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16460 BAKE PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184665",
            "telephone_number": "949-333-3663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41990 Cook St Ste B202",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922116101",
            "country_code": "US",
            "telephone_number": "800-898-3736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIME UNWIND MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "HAQUE",
        "authorized_official_first_name": "RAIHAN",
        "authorized_official_middle_name": "U.",
        "authorized_official_title_or_position": "C.E.O./OWNER",
        "authorized_official_telephone_number": "949-333-3663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A86542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Freeze",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Neo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Neo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Sculpt",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Veins",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Vigor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smooth M.D.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Food Medical Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 6, 2019; 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.