NPIMap

Organization Active NPI

University of California Irvine

Doing business as Uci Health-Costa Mesa Home Infusion Pharmacy

  • Home Infusion Therapy Pharmacy
  • Costa Mesa, CA
National Provider Identifier
1396559498
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
UNIVERSITY OF CALIFORNIA IRVINE
Doing business as
Uci Health-Costa Mesa Home Infusion Pharmacy
Practice address
1640 Newport Blvd Ste 400
Costa Mesa, CA 92627-3786
Phone
(949) 386-5011
Fax
(949) 386-5053
NPI assigned
Feb 7, 2025
Last updated
Feb 7, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF CALIFORNIA IRVINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Randolph Siwabessy
Title
Chief Financial Officer and Sr. VP
Phone
(714) 456-5180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X Primary

Addresses

Primary practice location

1640 Newport Blvd Ste 400
Costa Mesa, CA 92627-3786

Mailing address

1500 S Douglass Rd
Suite #200, RT 183
Anaheim, CA 92806-6912
Phone (949) 445-8768

Other names 1

  • UCI HEALTH-COSTA MESA HOME INFUSION PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Regents of the University of California42 organizations share this tax ID, including this one
Part of
Regents of the University of California

Other organizations with this tax ID 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1396559498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DOUGLASS RD",
            "address_2": "SUITE #200, RT 183",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928066912",
            "telephone_number": "949-445-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 NEWPORT BLVD STE 400",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273786",
            "telephone_number": "949-386-5011",
            "fax_number": "949-386-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CALIFORNIA IRVINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF CALIFORNIA IRVINE",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "SIWABESSY",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER AND SR. VP",
        "authorized_official_telephone_number": "714-456-5180"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCI HEALTH-COSTA MESA HOME INFUSION PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UCI HEALTH-COSTA MESA HOME INFUSION PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.