Ageless Men'S Health, Ca, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G081334 Issued in CA

Legal business name

AGELESS MEN'S HEALTH, CA, PC

Practice address

6825 Quail Hill Pkwy
Irvine, CA 92603-4234

Phone

(949) 854-8378

Fax

(949) 854-8379

NPI assigned

Jan 21, 2010

Organization subpart

Yes

Parent organization

AGELESS MEN'S HEALTHAs reported in NPPES

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

Authorized official

Name

Amanda Wilkinson

Title

Business Operations Director

Phone

(702) 818-0446

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Ageless Men'S Health LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ageless Men'S Health PC

  • Specialist
  • San Francisco, CA
  • NPI 1124451299
  NPPES parent name

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Joseph Constabileo, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Seal Beach, CA
  • NPI 1568572352
  NPD (past)
• John Dorman, M.D.

  • Family Medicine Physician
  • Santa Barbara, CA
  • NPI 1093933756
  NPD (past)
• Juan Antonio Riojas, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1245536333
  NPD (past)
• Chad Serrao, PA

  • Medical Physician Assistant
  • Irvine, CA
  • NPI 1427199751
  NPD (past)
• Shaun Yvon Beaulieu, PHYSICIAN ASSISTANT

  • Physician Assistant
  • New York, NY
  • NPI 1336574060
  NPD (past)
• Kenneth Christie, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1285323675
  NPD (past)
• Michael Guerrerio

  • Medical Physician Assistant
  • White Plains, NY
  • NPI 1427507623
  NPD (past)
• Alexander Julius, PA-C

  • Physician Assistant
  • Staten Island, NY
  • NPI 1518501345
  NPD (past)
• Lana O'Neill, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1245660273
  NPD (past)
• Theresa Pinson, N.P.

  • Nurse Practitioner
  • New York, NY
  • NPI 1215943188
  NPD (past)
• Matthew Thomas, CRNP

  • Nurse Practitioner
  • Brooklyn, NY
  • NPI 1992111959
  NPD (past)

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1447581095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 W GOWAN RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296602",
            "telephone_number": "602-796-2559",
            "fax_number": "901-522-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 QUAIL HILL PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926034234",
            "telephone_number": "949-854-8378",
            "fax_number": "949-854-8379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1081 Market Pl Ste 400",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945834749",
            "country_code": "US",
            "telephone_number": "925-359-6173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2750 Park View Ct Ste 250",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930365458",
            "country_code": "US",
            "telephone_number": "805-278-1688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12501 Seal Beach Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Seal Beach",
            "state": "CA",
            "postal_code": "907402755",
            "country_code": "US",
            "telephone_number": "562-430-1666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3905 State St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931055101",
            "country_code": "US",
            "telephone_number": "805-687-8378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11633 San Vicente Blvd Ste 214",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900496513",
            "country_code": "US",
            "telephone_number": "310-979-8378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Sutter St Ste 205",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941153029",
            "country_code": "US",
            "telephone_number": "415-989-0099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11940 Foothill Blvd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917399376",
            "country_code": "US",
            "telephone_number": "909-944-8378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AGELESS MEN'S HEALTH, CA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGELESS MEN'S HEALTH",
        "enumeration_date": "2010-01-21",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "702-818-0446"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G081334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.