NPIMap

Organization Active NPI

Irvine Village Urgent Care

  • Primary Care Clinic/Center
  • Irvine, CA
National Provider Identifier
1609325588
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
20A6269 Issued in CA
Legal business name
IRVINE VILLAGE URGENT CARE
Practice address
15435 Jeffrey Rd Ste 127
Irvine, CA 92618-4113
Phone
(949) 654-8455
NPI assigned
Oct 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Dzung A Pham, DONPI 1790749653
Title
Doctor
Phone
(949) 654-8455

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
Primary Care Clinic/Center 261QP2300X 20A6269 CA Primary

Addresses

Primary practice location

15435 Jeffrey Rd Ste 127
Irvine, CA 92618-4113

Mailing address

15435 Jeffrey Road #127
Irvine, CA 92618
Phone (949) 654-8455

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1609325588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15435 JEFFREY ROAD #127",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92618",
            "telephone_number": "949-654-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15435 JEFFREY RD STE 127",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184113",
            "telephone_number": "949-654-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINE VILLAGE URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "DZUNG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "949-654-8455",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "20A6269",
            "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 Oct 3, 2016; 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.