Organization Active NPI

IV for Life

  • Infusion Therapy Clinic/Center
  • Anaheim, CA
National Provider Identifier
1548638596
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
License
A60996 Issued in CA
Legal business name
IV FOR LIFE
Practice address
1211 W la Palma Ave
Suite 309
Anaheim, CA 92801-2815
Phone
(510) 290-9668
Fax
(714) 908-7953
NPI assigned
Sep 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Authorized official

Name
Bogdan Popa, MD
Title
Owner
Phone
(510) 290-9668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X A60996 CA Primary

Addresses

Primary practice location

1211 W la Palma Ave
Suite 309
Anaheim, CA 92801-2815

Mailing address

2973 Harbor Blvd
Box 322
Costa Mesa, CA 92626-3912
Phone (510) 290-9668

National Provider Directory

National Provider Directory

Locations

230 E 17th St
Ste 150
Costa Mesa, CA 92627
Phone (714) 951-1910

188 E 17th St
Ste 100
Costa Mesa, CA 92627
Phone (714) 951-1910

3151 Airway Ave
Ste L3
Costa Mesa, CA 92626
Phone (714) 951-1910

26522 La Alameda
Ste 380
San Juan Capistrano, CA 92691

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1548638596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2973 HARBOR BLVD",
            "address_2": "BOX 322",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263912",
            "telephone_number": "510-290-9668",
            "fax_number": "714-908-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE",
            "address_2": "SUITE 309",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012815",
            "telephone_number": "510-290-9668",
            "fax_number": "714-908-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IV FOR LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "POPA",
        "authorized_official_first_name": "BOGDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-290-9668",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "CA",
            "license": "A60996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.