Active NPI
VMR Institute, a Medical Corporation
- Ophthalmology Physician
- Huntington Beach, CA
National Provider Identifier
1609945146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G42362
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jerry Sebag, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G423623 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- Huntington Beach, CA
- NPI 1689601635
-
- Ophthalmology Physician
- Los Angeles, CA
- NPI 1679980882
-
- Ophthalmology Physician
- Huntington Beach, CA
- NPI 1265594048
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.