NPIMap

Organization Active NPI

University Head & Neck Surgeons

  • Otolaryngology Physician
  • Orange, CA
National Provider Identifier
1669437075
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
UNIVERSITY HEAD & NECK SURGEONS
Practice address
101 The City Dr S
BLDG 56, Route 81, Ste 500
Orange, CA 92868
Phone
(714) 456-6655
Fax
(714) 456-2280
NPI assigned
Apr 19, 2006
Last updated
Aug 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Dr. Uci Health Provider Relations
Title
Ups Provider Relations
Phone
(714) 456-2986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X Primary

Addresses

Primary practice location

101 The City Dr S
BLDG 56, Route 81, Ste 500
Orange, CA 92868

Mailing address

PO Box 31001-2493
Pasadena, CA 91110-2493

Other identifiers 1

IdentifierTypeStateIssuer
GR0043740MedicaidCA

Other names 1

  • UCI University Head & Neck Surgeons Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040604000997 CA Part B Supplier - Clinic/Group Practice 9032191788 Receives reassigned benefits from 56 practitioners
Practice locations: Orange, CA

National Provider Directory

National Provider Directory

Locations

101 The City Dr S
Bldg 25
Orange, CA 92868
Phone (714) 456-5731

Practitioners & affiliated clinicians

Practitioners 79

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.

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1669437075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-2493",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911102493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "address_2": "BLDG 56, ROUTE 81, STE 500",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-456-6655",
            "fax_number": "714-456-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HEAD & NECK SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "PROVIDER RELATIONS",
        "authorized_official_first_name": "UCI HEALTH",
        "authorized_official_title_or_position": "UPS PROVIDER RELATIONS",
        "authorized_official_telephone_number": "714-456-2986",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0043740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCI University Head & Neck Surgeons",
            "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 Aug 16, 2018; 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.

Verify at the official NPI Registry.