NPIMap

Organization Active NPI

Ucr Health - Psychiatry

  • Psychiatry Physician
  • Irvine, CA
National Provider Identifier
1336679109
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
UCR HEALTH - PSYCHIATRY
Practice address
18881 Von Karman Ave # 1227
Irvine, CA 92612-1500
Phone
(844) 827-8000
Fax
(951) 263-7238
NPI assigned
Jun 14, 2017
Organization subpart
Yes
Parent organization
REGENTS OF UNIVERSITY OF CALIFORNIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Erin Ferencik
Title
Director, Physician Relations
Phone
(951) 827-7793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

18881 Von Karman Ave # 1227
Irvine, CA 92612-1500

Mailing address

PO Box 741696
Los Angeles, CA 90074-1696
Phone (518) 277-7939

Other names 1

  • UCR Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120628000360 CA Part B Supplier - Clinic/Group Practice 8527223304 Receives reassigned benefits from 58 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Irvine, CA; Riverside, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Arlington Gardens Care Center30 organizations share this tax ID, including this one
Part of
Regents of the University of California

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Locations

18881 Von Karman Ave
Ste 1227
Irvine, CA 92612
Phone (844) 827-8000

Practitioners & affiliated clinicians

Practitioners 57

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

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1336679109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741696",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900741696",
            "telephone_number": "518-277-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18881 VON KARMAN AVE # 1227",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121500",
            "telephone_number": "844-827-8000",
            "fax_number": "951-263-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCR HEALTH - PSYCHIATRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENTS OF UNIVERSITY OF CALIFORNIA",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "FERENCIK",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "DIRECTOR, PHYSICIAN RELATIONS",
        "authorized_official_telephone_number": "951-827-7793"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCR Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 8, 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.

Verify at the official NPI Registry.