Active NPI
Spectrum Internal Medicine Associates, Inc. a Professional Corporation
- Internal Medicine Physician
- Irvine, CA
National Provider Identifier
1659580744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SPECTRUM INTERNAL MEDICINE ASSOCIATES, INC. A PROFESSIONAL CORPORATION
- Practice address
- 4870 Barranca Pkwy
Suite 250
Irvine, CA 92604-4709 - Phone
- (949) 272-3800
- Fax
- (949) 262-0089
- NPI assigned
- May 22, 2007
- 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. Julie Kuniyoshi, MD
- Title
- MD
- Phone
- (949) 272-3800
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X |
Addresses
Primary practice location
4870 Barranca Pkwy
Suite 250
Irvine, CA 92604-4709
Mailing address
PO Box 60099
Irvine, CA 92602-6003
Phone (949) 272-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071110000189 | CA | Part B Supplier - Clinic/Group Practice | 9830287770 |
Receives reassigned benefits from 2 practitioners Practice locations: Irvine, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1071569 | Spectrum Internal Medicine | Certificate of waiver | Jul 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373846400000",
"number": "1659580744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60099",
"city": "IRVINE",
"state": "CA",
"postal_code": "926026003",
"telephone_number": "949-272-3800",
"fax_number": "949-262-0089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4870 BARRANCA PKWY",
"address_2": "SUITE 250",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044709",
"telephone_number": "949-272-3800",
"fax_number": "949-262-0089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTRUM INTERNAL MEDICINE ASSOCIATES, INC. A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2013-07-15",
"status": "A",
"authorized_official_last_name": "KUNIYOSHI",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "949-272-3800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.