Organization Active NPI

Regents of Univ of Ca

  • Specialist
  • Orange, CA
National Provider Identifier
1639136336
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
REGENTS OF UNIV OF CA
Practice address
101 City Dr S
BLDG 53, Rte 81
Orange, CA 92868
Phone
(714) 456-5142
Fax
(714) 456-7816
NPI assigned
Apr 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Dr. Nostratola Dabir Vaziri, MD
Title
Chairman Nephrology Division
Phone
(714) 456-5142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X CA Primary

Addresses

Primary practice location

101 City Dr S
BLDG 53, Rte 81
Orange, CA 92868

Mailing address

PO Box 513359
Los Angeles, CA 90051-3359
Phone (714) 456-6238

Other identifiers 1

IdentifierTypeStateIssuer
GR0065170MedicaidCA

Other names 1

  • NEPHROLOGY-UNIV PHYSICIANS Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1639136336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513359",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900513359",
            "telephone_number": "714-456-6238",
            "fax_number": "714-456-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CITY DR S",
            "address_2": "BLDG 53, RTE 81",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-456-5142",
            "fax_number": "714-456-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF UNIV OF CA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "VAZIRI",
        "authorized_official_first_name": "NOSTRATOLA",
        "authorized_official_middle_name": "DABIR",
        "authorized_official_title_or_position": "CHAIRMAN NEPHROLOGY DIVISION",
        "authorized_official_telephone_number": "714-456-5142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0065170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEPHROLOGY-UNIV PHYSICIANS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.