Individual provider Active NPI

Miki Csintalan, MD

  • Internal Medicine Physician
  • Irvine, CA
National Provider Identifier
1609924661
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A61791 Issued in CA
Practice address
Uci Student Health
501 Student Health
Irvine, CA 92697-5200
Phone
(949) 824-5301
Fax
(949) 824-3033
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A61791 CA Primary

Addresses

Primary practice location

Uci Student Health
501 Student Health
Irvine, CA 92697-5200

Mailing address

Uci Student Health
501 Student Health
Irvine, CA 92697-5200
Phone (949) 824-5301

Other identifiers 1

IdentifierTypeStateIssuer
00A617910MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A61791CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1609924661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCI STUDENT HEALTH",
            "address_2": "501 STUDENT HEALTH",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926975200",
            "telephone_number": "949-824-5301",
            "fax_number": "949-824-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCI STUDENT HEALTH",
            "address_2": "501 STUDENT HEALTH",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926975200",
            "telephone_number": "949-824-5301",
            "fax_number": "949-824-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CSINTALAN",
        "first_name": "MIKI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A617910",
            "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 28, 2010; 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.