Irene Pe, MD PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A49301 Issued in CA

Legal business name

IRENE PE, MD PC

Practice address

12665 Garden Grove Blvd
Ste. 606
Garden Grove, CA 92843-1901

Phone

(714) 530-5100

NPI assigned

Apr 5, 2006

Last updated

Feb 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Irene PeNPI 1154560415

Title

MD

Phone

(714) 530-5100

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irene Pe, MD

  • Pediatrics Physician
  • Garden Grove, CA
  • NPI 1154560415
  NPD (past) Authorized official

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1619939691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD",
            "address_2": "STE. 606",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431901",
            "telephone_number": "714-530-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD",
            "address_2": "STE. 606",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431901",
            "telephone_number": "714-530-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE PE, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "PE",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "714-530-5100"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A49301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrity Diagnostic Laboratories
• Intellisurg LLC
• Camila Iraheta
• Sherisse Iraheta
• Yousef W Ireifej, M.D.
• Tony Kurema Irungu
• Crystal Leila Hatsumi Ishihara
• Samantha Arellano Isidro, PHARMD
• Benjamin C Isip, RPT/L
• Mesbah Islam

• Clinic/Center in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.