Organization Active NPI

Osteoporosis Center of Irvine

  • Radiology Clinic/Center
  • Mission Viejo, CA
National Provider Identifier
1396951968
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
C040332 Issued in CA
Legal business name
OSTEOPOROSIS CENTER OF IRVINE
Practice address
26302 La Paz Rd
Suite 206
Mission Viejo, CA 92691-5328
Phone
(949) 829-9756
Fax
(949) 829-9185
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Ms. Sue A Beard, BS,CNMT,CDT
Title
Clinical Director
Phone
(949) 829-9756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X C040332 CA Primary

Addresses

Primary practice location

26302 La Paz Rd
Suite 206
Mission Viejo, CA 92691-5328

Mailing address

26302 La Paz Rd
Suite 206
Mission Viejo, CA 92691-5328
Phone (949) 829-9756

Other identifiers 1

IdentifierTypeStateIssuer
W12233OtherCAPTAN

Other names 1

  • The Osteoporosis Center of Irvine Doing business as

National Provider Directory

National Provider Directory

Locations

26302 La Paz Rd
Ste 206
Mission Viejo, CA 92691
Phone (949) 829-9756

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1396951968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD",
            "address_2": "SUITE 206",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915328",
            "telephone_number": "949-829-9756",
            "fax_number": "949-829-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD",
            "address_2": "SUITE 206",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915328",
            "telephone_number": "949-829-9756",
            "fax_number": "949-829-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPOROSIS CENTER OF IRVINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "949-829-9756",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS,CNMT,CDT"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "C040332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "W12233",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Osteoporosis Center of Irvine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.