Organization Active NPI

Advantage Plus Medical Center, Inc.

  • Clinic/Center
  • Irvine, CA
National Provider Identifier
1679510598
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A46833 Issued in CA
Legal business name
ADVANTAGE PLUS MEDICAL CENTER, INC.
Practice address
18021 Sky Park Cir
BLDG. 68, Ste. H&G
Irvine, CA 92614-6523
Phone
(949) 260-0744
Fax
(949) 260-0750
NPI assigned
May 31, 2006
Last updated
Apr 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Dr. Naguib Bebawi, M.D.
Title
Ceo
Phone
(949) 260-0744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A46833 CA Primary

Addresses

Primary practice location

18021 Sky Park Cir
BLDG. 68, Ste. H&G
Irvine, CA 92614-6523

Mailing address

18021 Sky Park Cir
BLDG. 68, Ste. H&G
Irvine, CA 92614-6523
Phone (949) 260-0744

Other identifiers 2

IdentifierTypeStateIssuer
00A463880MedicaidCA
GR0094500MedicaidCA

National Provider Directory

National Provider Directory

Locations

18021 Sky Park Cir
Bldg 68
Irvine, CA 92614
Phone (949) 260-0744

Practitioners & affiliated clinicians

Practitioners 1

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": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1679510598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18021 SKY PARK CIR",
            "address_2": "BLDG. 68, STE. H&G",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146523",
            "telephone_number": "949-260-0744",
            "fax_number": "949-260-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18021 SKY PARK CIR",
            "address_2": "BLDG. 68, STE. H&G",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146523",
            "telephone_number": "949-260-0744",
            "fax_number": "949-260-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE PLUS MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "BEBAWI",
        "authorized_official_first_name": "NAGUIB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-260-0744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A46833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A463880",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0094500",
            "state": "CA"
        }
    ],
    "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 Apr 1, 2015; 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.