David Mir, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A96676 Issued in CA

Practice address

22 Odyssey Suite 115
Irvine, CA 92618

Phone

(949) 988-7550

Fax

(949) 988-7551

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Osteopathic Manipulative Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marque Medical Clinic, Inc.Group PAC ID 9537345665, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (13 of 14)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: davidmir@clchc.allscriptsdirect.net
• Direct secure messaging: david.mir@3856.securemail.prognocis.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marque Medical Clinic, Inc.

  • Urgent Care Clinic/Center
  • Newport Beach, CA
  • NPI 1538466107

  CA, Family Medicine

  Medicare reassignment Care Compare group NPD
• Angizeh Sadeghi MD Inc

  • Gastroenterology Physician
  • Newport Beach, CA
  • NPI 1770958845

  CA

  Medicare reassignment NPD
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1235283094

  CA, General Practice

  Medicare reassignment NPD
• Medison Corp

  • Urgent Care Clinic/Center
  • Torrance, CA
  • NPI 1760050587

  CA

  Medicare reassignment NPD
• Scke, Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Laguna Hills, CA
  • NPI 1831144104

  CA, Family Medicine

  Medicare reassignment NPD
• David Mir MD

  • Family Medicine Physician
  • Newport Beach, CA
  • NPI 1902462732

  Family Medicine

  NPD Authorized official
• Celebrating Life Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Mission Viejo, CA
  • NPI 1386273100
  NPD
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Upland, CA
  • NPI 1174996318
  NPD
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Anaheim, CA
  • NPI 1598386559
  NPD
• Marque Medical Clinic, Inc

  • Urgent Care Clinic/Center
  • Chula Vista, CA
  • NPI 1164303442
  NPD
• Poplar Bluff Regional Medical Center LLC

  • General Acute Care Hospital
  • Poplar Bluff, MO
  • NPI 1700831724
  NPD (past)
• Poplar Bluff Regional Medical Center LLC

  • Rural Health Clinic/Center
  • Malden, MO
  • NPI 1801839147
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1295815439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23331 EL TORO RD",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304891",
            "telephone_number": "949-916-9100",
            "fax_number": "949-988-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY SUITE 115",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92618",
            "telephone_number": "949-988-7550",
            "fax_number": "949-988-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIR",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A96676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Irvine, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.