Organization Active NPI

Southern California Endocrinology, a Professional Medical Corporation

  • Medical Specialty Clinic/Center
  • Irvine, CA
National Provider Identifier
1316276371
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A94980 Issued in CA
Legal business name
SOUTHERN CALIFORNIA ENDOCRINOLOGY, A PROFESSIONAL MEDICAL CORPORATION
Practice address
33 Creek Rd
Suite 130
Irvine, CA 92604-4791
Phone
(949) 769-3443
Fax
(949) 769-3444
NPI assigned
Dec 21, 2009
Last updated
Sep 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Dr. Diana Tristan Albay, M.D.NPI 1477751691
Title
Ceo/President of Corporation
Phone
(310) 480-1382

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A94980 CA Primary

Addresses

Primary practice location

33 Creek Rd
Suite 130
Irvine, CA 92604-4791

Mailing address

PO Box 18675
Irvine, CA 92623-8675
Phone (949) 769-3443

National Provider Directory

National Provider Directory

Locations

16100 Sand Canyon Ave
Ste 310
Irvine, CA 92618
Phone (949) 450-0200

33 Creek Rd
Ste 130
Irvine, CA 92604
Phone (949) 769-3443

400 Newport Center Dr
Ste 502
Newport Beach, CA 92660
Phone (949) 209-9309

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1316276371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18675",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926238675",
            "telephone_number": "949-769-3443",
            "fax_number": "949-769-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CREEK RD",
            "address_2": "SUITE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044791",
            "telephone_number": "949-769-3443",
            "fax_number": "949-769-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA ENDOCRINOLOGY, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "ALBAY",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "TRISTAN",
        "authorized_official_title_or_position": "CEO/PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "310-480-1382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A94980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 3, 2015; 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.