Organization Active NPI

Qsa Group,LLC

  • Hospitalist Physician
  • Irvine, CA
National Provider Identifier
1427499748
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A46078 Issued in CA
Legal business name
QSA GROUP,LLC
Practice address
29 Prairie
Irvine, CA 92618-8840
Phone
(949) 306-5115
Fax
(949) 825-5189
NPI assigned
Jul 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Authorized official

Name
Dr. Mazen Jamal, M.D
Title
Manager
Phone
(949) 306-5115

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208M00000X A46078 CA Primary
Hospitalist PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208M00000X A105921 CA
Hospitalist PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208M00000X A110080 CA
Hospitalist PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208M00000X A125541 CA

Addresses

Primary practice location

29 Prairie
Irvine, CA 92618-8840

Mailing address

29 Prairie
Irvine, CA 92618-8840
Phone (949) 306-5115

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1427499748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 PRAIRIE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926188840",
            "telephone_number": "949-306-5115",
            "fax_number": "949-825-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 PRAIRIE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926188840",
            "telephone_number": "949-306-5115",
            "fax_number": "949-825-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QSA GROUP,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "JAMAL",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-306-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A46078",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A105921",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A110080",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A125541",
            "primary": false
        }
    ],
    "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 Jul 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.