Organization Active NPI

Alexis Healthcare Corp

  • Psychiatric/Mental Health Registered Nurse
  • Irvine, CA
National Provider Identifier
1609359686
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
Legal business name
ALEXIS HEALTHCARE CORP
Practice address
35 Field
Irvine, CA 92620-3345
Phone
(949) 981-4515
NPI assigned
Sep 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Authorized official

Name
Ko G Liuo, NP
Title
NP
Phone
(949) 981-4515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0808X Primary

Addresses

Primary practice location

35 Field
Irvine, CA 92620-3345

Mailing address

35 Field
Irvine, CA 92620-3345
Phone (949) 981-4515

Other identifiers 1

IdentifierTypeStateIssuer
NP95001948OtherCABOARD OF REGISTERED NURSING

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1609359686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 FIELD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203345",
            "telephone_number": "949-981-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 FIELD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203345",
            "telephone_number": "949-981-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIS HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "LIUO",
        "authorized_official_first_name": "KO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "949-981-4515",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED NURSING",
            "identifier": "NP95001948",
            "state": "CA"
        }
    ],
    "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 Sep 14, 2018; 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.