Organization Active NPI

VMR Institute, a Medical Corporation

  • Ophthalmology Physician
  • Huntington Beach, CA
National Provider Identifier
1609945146
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G42362 Issued in CA
Legal business name
VMR INSTITUTE, A MEDICAL CORPORATION
Practice address
7677 Center Ave
Suite 400
Huntington Beach, CA 92647-3074
Phone
(714) 901-7777
Fax
(714) 901-7770
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Dr. Jerry Sebag, M.D.NPI 1689601635
Title
President
Phone
(714) 901-7777

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
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X G42362 CA Primary

Addresses

Primary practice location

7677 Center Ave
Suite 400
Huntington Beach, CA 92647-3074

Mailing address

7677 Center Ave
Suite 400
Huntington Beach, CA 92647-3074
Phone (714) 901-7777

Other identifiers 1

IdentifierTypeStateIssuer
00G423623MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070607000697 CA Part B Supplier - Clinic/Group Practice 6103924576 Receives reassigned benefits from 3 practitioners
Practice locations: Huntington Beach, CA

National Provider Directory

National Provider Directory

Locations

7677 Center Ave
Ste 400
Huntington Beach, CA 92647
Phone (714) 901-7777

Practitioners & affiliated clinicians

Practitioners 3

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1609945146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7677 CENTER AVE",
            "address_2": "SUITE 400",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473074",
            "telephone_number": "714-901-7777",
            "fax_number": "714-901-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7677 CENTER AVE",
            "address_2": "SUITE 400",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473074",
            "telephone_number": "714-901-7777",
            "fax_number": "714-901-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VMR INSTITUTE, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "SEBAG",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-901-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G42362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G423623",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.