Irvine Gastroenterology

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

IRVINE GASTROENTEROLOGY

Practice address

15825 Laguna Canyon Rd
Suite 106
Irvine, CA 92618-2125

Phone

(949) 679-0000

Fax

(949) 679-0976

NPI assigned

Mar 17, 2010

Organization subpart

No

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

Authorized official

Name

Fang Yu, MD, PHDNPI 1497869630

Title

President

Phone

(949) 679-0000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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.

• Fang Frank Yu

  • Gastroenterology Physician
  • Irvine, CA
  • NPI 1497869630
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1578887790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15825 LAGUNA CANYON RD",
            "address_2": "SUITE 106",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182125",
            "telephone_number": "949-679-0000",
            "fax_number": "949-679-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15825 LAGUNA CANYON RD",
            "address_2": "SUITE 106",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182125",
            "telephone_number": "949-679-0000",
            "fax_number": "949-679-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINE GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "FANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-679-0000",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Irvine, CA
• Providers in Irvine, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.