Organization Active NPI

Mervin Low, MD, a Professional Corporation

  • Medical Specialty Clinic/Center
  • Tustin, CA
National Provider Identifier
1245496173
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MERVIN LOW, MD, A PROFESSIONAL CORPORATION
Practice address
13217 Jamboree Rd # 295
Tustin, CA 92782-9158
Phone
(949) 281-7899
NPI assigned
Jul 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Authorized official

Name
Mervin Low, MDNPI 1982884219
Title
Ceo/President
Phone
(949) 281-7899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

13217 Jamboree Rd # 295
Tustin, CA 92782-9158

Mailing address

PO Box 8107
Newport Beach, CA 92658-8107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140729002405 CA Part B Supplier - Clinic/Group Practice 1153547005 Receives reassigned benefits from 1 practitioner
Practice locations: Capistrano Beach, CA; Costa Mesa, CA; Fountain Valley, CA; Laguna Hills, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1245496173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8107",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926588107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13217 JAMBOREE RD # 295",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927829158",
            "telephone_number": "949-281-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERVIN LOW, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "LOW",
        "authorized_official_first_name": "MERVIN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "949-281-7899",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.

Verify at the official NPI Registry.