Active NPI
Orange County Ear, Nose & Throat
- Specialist
- Irvine, CA
National Provider Identifier
1205924511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- ORANGE COUNTY EAR, NOSE & THROAT
- Practice address
- 22 Odyssey Ste 100
Irvine, CA 92618-3186 - Phone
- (949) 679-9000
- Fax
- (949) 679-9001
- NPI assigned
- Oct 11, 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
- Mrs. Michelle Crystal Dena
- Title
- Office Manager
- Phone
- (949) 305-8252
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | CA | Primary |
Addresses
Primary practice location
22 Odyssey Ste 100
Irvine, CA 92618-3186
Mailing address
24411 Health Center Drive
Suite 600
Laguna Hills, CA 92653
Phone (949) 305-8000
Other practice location 1
24411 Health Center Dr Ste 600
Laguna Hills, CA 92653-3687
Phone (949) 305-8000
Other names 1
- ENTA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
24411 Health Center Dr
Ste 600
Laguna Hills, CA 92653
Phone (949) 305-8000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 3
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": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663804800000",
"number": "1205924511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24411 HEALTH CENTER DRIVE",
"address_2": "SUITE 600",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "92653",
"telephone_number": "949-305-8000",
"fax_number": "949-305-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 ODYSSEY STE 100",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183186",
"telephone_number": "949-679-9000",
"fax_number": "949-679-9001"
}
],
"practiceLocations": [
{
"address_1": "24411 Health Center Dr Ste 600",
"address_purpose": "LOCATION",
"city": "Laguna Hills",
"state": "CA",
"postal_code": "926533687",
"country_code": "US",
"telephone_number": "949-305-8000",
"fax_number": "949-305-8001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ORANGE COUNTY EAR, NOSE & THROAT",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-11",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A",
"authorized_official_last_name": "DENA",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "CRYSTAL",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "949-305-8252",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ENTA",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "ENTA",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Irvine, CA
- Orange Coast Family Medical Group Inc.
- Orange Coast Head and Neck Surgery
- Orange Coast Laser Vision Center, Inc.
- Orange County Comprehensive Psychological Services, Inc
- Orange County Digestive Center, Inc
- Orange County Family Therapy, Professional Corporation
- Orange County Fire Authority
- Orange County Health & Psychology Associates
- Orange County Health Psychologists, Inc.
- Orange County Homecare LLC (Salus Homecare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.