Organization Active NPI

Institute for Progressive Medicine- a Professional Medical Corporation

  • Internal Medicine Physician
  • Irvine, CA
National Provider Identifier
1467473348
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G21912 Issued in CA
Legal business name
INSTITUTE FOR PROGRESSIVE MEDICINE- A PROFESSIONAL MEDICAL CORPORATION
Practice address
4 Hughes
Ste 175
Irvine, CA 92618-2057
Phone
(949) 600-5100
Fax
(949) 600-5101
NPI assigned
Jul 23, 2006
Last updated
Oct 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Authorized official

Name
Roshy Sosin
Title
Billing in Charge
Phone
(949) 600-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X G21912 CA Primary

Addresses

Primary practice location

4 Hughes
Ste 175
Irvine, CA 92618-2057

Mailing address

4 Hughes
Ste 175
Irvine, CA 92618-2057
Phone (949) 600-5100

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0976347Institute for Progressive Medicine4 Hughes Rd Ste 175, Irvine, CA 92618Certificate of waiverApr 29, 2027

National Provider Directory

National Provider Directory

Locations

4 Hughes
Ste 175
Irvine, CA 92618
Phone (949) 600-5100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1467473348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HUGHES",
            "address_2": "STE 175",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182057",
            "telephone_number": "949-600-5100",
            "fax_number": "949-600-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HUGHES",
            "address_2": "STE 175",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182057",
            "telephone_number": "949-600-5100",
            "fax_number": "949-600-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR PROGRESSIVE MEDICINE- A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "SOSIN",
        "authorized_official_first_name": "ROSHY",
        "authorized_official_title_or_position": "BILLING IN CHARGE",
        "authorized_official_telephone_number": "949-600-5100"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G21912",
            "primary": true
        }
    ],
    "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 Oct 1, 2018; 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.