NPIMap

Organization Active NPI

Cypress College Health Center

  • Health Service Clinic/Center
  • Cypress, CA
National Provider Identifier
1639425770
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
NP 18706 Issued in CA
Legal business name
CYPRESS COLLEGE HEALTH CENTER
Practice address
9200 Valley View St
Cypress, CA 90630-5805
Phone
(714) 484-7361
Fax
(714) 527-0118
NPI assigned
Jul 26, 2012
Last updated
Jul 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Mir M Ali, M.D.
Title
Medical Director
Phone
(714) 484-7361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NP 18706 CA Primary

Addresses

Primary practice location

9200 Valley View St
Cypress, CA 90630-5805

Mailing address

9200 Valley View St
Cypress, CA 90630-5805
Phone (714) 484-7361

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1083016Cypress College Student Health Center9200 Valley View Street, Cypress, CA 90630Provider-performed microscopyApr 22, 2028

National Provider Directory

National Provider Directory

Locations

9200 Valley View St
Cypress, CA 90630
Phone (714) 484-7045

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1639425770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 VALLEY VIEW ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305805",
            "telephone_number": "714-484-7361",
            "fax_number": "714-527-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 VALLEY VIEW ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305805",
            "telephone_number": "714-484-7361",
            "fax_number": "714-527-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS COLLEGE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MIR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-484-7361",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "NP 18706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.