Regents of the University of California

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REGENTS OF THE UNIVERSITY OF CALIFORNIA

Practice address

101 The City Dr S
Orange, CA 92868-3201

Phone

(714) 456-8068

Fax

(714) 456-3765

NPI assigned

May 4, 2006

Organization subpart

No

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

Authorized official

Name

Ups Enrollment

Title

Team

Phone

(714) 745-8709

Specialties & licenses 15

Addresses

Other identifiers 11

Other names 1

• UCI Primary Care Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 93

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manoochehr Abadian Sharifabad, M.D.

  • Pulmonary Disease Physician
  • Fountain Valley, CA
  • NPI 1164655817
  Medicare reassignment Care Compare group NPD
• Sebo Amirkhanian Namagerdy, M.D.

  • General Acute Care Hospital
  • Tujunga, CA
  • NPI 1043474513
  Medicare reassignment Care Compare group NPD
• Robby Tony Ayoub, MD

  • Pulmonary Disease Physician
  • Huntington Beach, CA
  • NPI 1396958237

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Thomas Azeizat, MD

  • Family Medicine Physician
  • Tustin, CA
  • NPI 1558894907
  Medicare reassignment Care Compare group NPD
• Karen Babel, MD

  • Family Medicine Physician
  • Tustin, CA
  • NPI 1558366260
  Medicare reassignment Care Compare group NPD
• Charles Blumberg, MD

  • Internal Medicine Physician
  • Laguna Hills, CA
  • NPI 1225532310
  Medicare reassignment Care Compare group NPD
• Philip Bucur, M.D.

  • Urology Physician
  • Fountain Valley, CA
  • NPI 1457770752
  Medicare reassignment Care Compare group NPD
• Janine Jo Chamberlin, M.D.

  • Family Medicine Physician
  • Brea, CA
  • NPI 1225210016
  Medicare reassignment Care Compare group NPD
• Regan Alexander Chan, D.O.

  • Family Medicine Physician
  • Orange, CA
  • NPI 1558546341
  Medicare reassignment Care Compare group NPD
• Stephen Chang, MD

  • Family Medicine Physician
  • Tustin, CA
  • NPI 1043715410
  Medicare reassignment Care Compare group NPD
• David J Chapman, M.D.

  • Gastroenterology Physician
  • Yorba Linda, CA
  • NPI 1053321943
  Medicare reassignment Care Compare group NPD
• Anita Basu Doeve, RD, CDE

  • Registered Dietitian
  • Yorba Linda, CA
  • NPI 1346563475

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1679521850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-2482",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911102482",
            "telephone_number": "714-456-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-456-8068",
            "fax_number": "714-456-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "ENROLLMENT",
        "authorized_official_first_name": "UPS",
        "authorized_official_title_or_position": "TEAM",
        "authorized_official_telephone_number": "714-745-8709"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "ZZZ54010Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "ZZZ54012Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL GROUP #",
            "identifier": "GR0063900",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "ZZZ05704Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "ZZZ54011Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "ZZZP5717Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "ZZZ52352Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CD3099",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "ZZZ54007Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "ZZZ54006Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "ZZZ62004Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCI Primary Care Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UCI Primary Care Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regents of the University of California
• Regents of the University of California
• Regents of the University of California
• Regents of the University of California
• Regents of the University of California
• Regents of the University of California
• Regents of the University of California
• Regents of the University of California
• Regents of the University of California
• Regents of the University of Claifornia Univ Neursciences

• Family Medicine Physician in Orange, CA
• Providers in Orange, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.