Active NPI
Institute for Progressive Medicine- a Professional Medical Corporation
- Internal Medicine Physician
- Irvine, CA
National Provider Identifier
1467473348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G21912
- 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, 2018
- 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
- Roshy Sosin
- Title
- Billing in Charge
- Phone
- (949) 600-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0976347 | Institute for Progressive Medicine | Certificate of waiver | Apr 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Medicine & Rehabilitation Physician
- San Juan Capistrano, CA
- NPI 1922264712
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
- Darya Inocencio, PHARMD
- Mami Inokuchi-Andersen
- Joyce Fang Inouye, DDS
- Insight Health Corp
- Inspire Health LLC
- Integrated Healthcare Solutions, Inc.
- Integrative Energy Wellness Center
- Integrative Pharmacy Solutions, Inc (King's Pharmacy and Compounding Center)
- Integrative Sports and Spine Inc
- Intelli-Heart Services Inc
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.