NPIMap

Organization Active NPI

Eztelemd, LLC

  • Psychiatry Physician
  • Irvine, CA
National Provider Identifier
1518626878
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
EZTELEMD, LLC
Practice address
232 Las Palmas Dr
Irvine, CA 92602-2312
Phone
(949) 665-9136
NPI assigned
Dec 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Dr. Fuat Bicer, MDNPI 1316393952
Title
Partner
Phone
(949) 665-9136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

232 Las Palmas Dr
Irvine, CA 92602-2312

Mailing address

6338 Snider Rd Unit 971
5040
Mason, OH 45040

National Provider Directory

National Provider Directory

Locations

6338 Snider Rd
Unit 971
Mason, OH 45040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23825/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1518626878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6338 SNIDER RD UNIT 971",
            "address_2": "5040",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 LAS PALMAS DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022312",
            "telephone_number": "949-665-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZTELEMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "BICER",
        "authorized_official_first_name": "FUAT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "949-665-9136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "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 Dec 14, 2021; 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.