Michael Adam Waldman, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A50052 Issued in CA

Legal business name

MICHAEL ADAM WALDMAN, M.D.

Practice address

2 Hughes
Suite 175
Irvine, CA 92618-2056

Phone

(949) 600-8260

Fax

(949) 600-8264

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Michael Adam Waldman, M.D.

Title

Ceo

Phone

(949) 600-8260

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1346436342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2092 SALT AIR DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053379",
            "telephone_number": "949-600-8260",
            "fax_number": "949-600-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HUGHES",
            "address_2": "SUITE 175",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182056",
            "telephone_number": "949-600-8260",
            "fax_number": "949-600-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL ADAM WALDMAN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "WALDMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-600-8260",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A50052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.