Organization Active NPI

Nengjie Ge MD Pro Corp

  • Health Service Clinic/Center
  • Irvine, CA
National Provider Identifier
1669642187
Registry record updated Aug 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NENGJIE GE MD PRO CORP
Practice address
16300 Sand Canyon Ave Ste 608
Irvine, CA 92618-3706
Phone
(949) 753-8118
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2019

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

Authorized official

Name
Dr. Nengjie J Ge, MDNPI 1871569335
Title
Owner
Phone
(949) 753-8118

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 1

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

Addresses

Primary practice location

16300 Sand Canyon Ave Ste 608
Irvine, CA 92618-3706

Mailing address

16300 Sand Canyon Ave Ste 608
Irvine, CA 92618-3706
Phone (949) 753-8118

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315001302 CA Part B Supplier - Clinic/Group Practice 3476442443 Receives reassigned benefits from 2 practitioners
Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Practitioners & 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": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566000000000",
    "number": "1669642187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE STE 608",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183706",
            "telephone_number": "949-753-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE STE 608",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183706",
            "telephone_number": "949-753-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NENGJIE GE MD PRO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2019-08-17",
        "status": "A",
        "authorized_official_last_name": "GE",
        "authorized_official_first_name": "NENGJIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-753-8118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 17, 2019; 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.