Organization Active NPI

University of California, Irvine

  • Clinical Medical Laboratory
  • Irvine, CA
National Provider Identifier
1467592469
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF 4904 Issued in CA
Legal business name
UNIVERSITY OF CALIFORNIA, IRVINE
Doing business as
UCI Immunology Lab
Practice address
C380 Medical Science I
Irvine, CA 92697-4069
Phone
(949) 824-5818
Fax
(949) 824-4362
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Dr. Sudhir Gupta, M.D., PH.D.
Title
Professor
Phone
(949) 824-5818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF 4904 CA Primary

Addresses

Primary practice location

C380 Medical Science I
Irvine, CA 92697-4069

Mailing address

C240 Medical Science I
Irvine, CA 92697-4069
Phone (949) 824-5818

Other names 1

  • UCI Immunology Lab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Regents of the University of California42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Locations

C240 Med Sci 1
Irvine, CA 92697

C240 Medical Science I
Irvine, CA 92697
Phone (949) 824-5818

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1467592469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C240 MEDICAL SCIENCE I",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926974069",
            "telephone_number": "949-824-5818",
            "fax_number": "949-824-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C380 MEDICAL SCIENCE I",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926974069",
            "telephone_number": "949-824-5818",
            "fax_number": "949-824-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CALIFORNIA, IRVINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_title_or_position": "PROFESSOR",
        "authorized_official_telephone_number": "949-824-5818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 4904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCI Immunology Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 10, 2012; 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.