Organization Active NPI

Specialized University Pathologists

  • Urology Physician
  • Irvine, CA
National Provider Identifier
1356735989
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G81612 Issued in CA
Legal business name
SPECIALIZED UNIVERSITY PATHOLOGISTS
Practice address
181 Technology Dr Ste 100C
Irvine, CA 92618-2484
Phone
(424) 302-3307
Fax
(818) 279-6939
NPI assigned
Mar 20, 2015
Last updated
Sep 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Dr. Kiarash Michel, MD
Title
MD/Owner
Phone
(424) 245-7284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X G81612 CA Primary

Addresses

Primary practice location

181 Technology Dr Ste 100C
Irvine, CA 92618-2484

Mailing address

PO Box 745227
Los Angeles, CA 90074-5227
Phone (424) 302-3307

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230222000062 TX Part B Supplier - Clinic/Group Practice 2264752104 Receives reassigned benefits from 1 practitioner
Practice locations: Farmers Branch, TX

National Provider Directory

National Provider Directory

Locations

931 Buena Vista St
Ste 200B
Duarte, CA 91010

181 Technology Dr
Ste 100C
Irvine, CA 92618
Phone (424) 302-3307

8201 Beverly Blvd
Los Angeles, CA 90048
Phone (323) 966-3571

16909 Parthenia St
Ste 304
Northridge, CA 91343
Phone (818) 894-4151

Practitioners & affiliated clinicians

Practitioners 4

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": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1356735989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745227",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900745227",
            "telephone_number": "424-302-3307",
            "fax_number": "818-279-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 TECHNOLOGY DR STE 100C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182484",
            "telephone_number": "424-302-3307",
            "fax_number": "818-279-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED UNIVERSITY PATHOLOGISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "KIARASH",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "424-245-7284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "G81612",
            "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 22, 2026; 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.