Active NPI
Osteoporosis Center of Irvine
- Radiology Clinic/Center
- Mission Viejo, CA
National Provider Identifier
1396951968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- C040332
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W12233 | Other | CA | PTAN |
Other names 1
- The Osteoporosis Center of Irvine
National Provider Directory
National Provider DirectoryLocations
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.