Active NPI
Regents of the University of California
Doing business as UCI Primary Care Medical Group
- Family Medicine Physician
- Orange, CA
National Provider Identifier
1679521850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- REGENTS OF THE UNIVERSITY OF CALIFORNIA
- Doing business as
- UCI Primary Care Medical Group
- Practice address
- 101 The City Dr S
Orange, CA 92868-3201 - Phone
- (714) 456-8068
- Fax
- (714) 456-3765
- NPI assigned
- May 4, 2006
- Last updated
- Mar 18, 2024
- 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
- Ups Enrollment
- Title
- Team
- Phone
- (714) 745-8709
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Gastroenterology Physician | 207RG0100X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Neurological Surgery Physician | 207T00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Pediatrics Physician | 208000000X | |||
| Surgery Physician | 208600000X | |||
| Urology Physician | 208800000X | |||
| Hospitalist Physician | 208M00000X | |||
| Clinical Nurse Specialist | 364S00000X | |||
| Acute Care Clinical Nurse Specialist | 364SA2100X |
Addresses
Primary practice location
101 The City Dr S
Orange, CA 92868-3201
Mailing address
PO Box 31001-2482
Pasadena, CA 91110-2482
Phone (714) 456-8026
Other names 1
- UCI Primary Care Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 93
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.
-
- Pulmonary Disease Physician
- Fountain Valley, CA
- NPI 1164655817
-
- General Acute Care Hospital
- Tujunga, CA
- NPI 1043474513
-
- Pulmonary Disease Physician
- Huntington Beach, CA
- NPI 1396958237
Multi-Specialty
-
- Family Medicine Physician
- Tustin, CA
- NPI 1558894907
-
- Family Medicine Physician
- Tustin, CA
- NPI 1558366260
-
- Internal Medicine Physician
- Laguna Hills, CA
- NPI 1225532310
-
- Urology Physician
- Fountain Valley, CA
- NPI 1457770752
-
- Family Medicine Physician
- Brea, CA
- NPI 1225210016
-
- Family Medicine Physician
- Orange, CA
- NPI 1558546341
-
- Family Medicine Physician
- Tustin, CA
- NPI 1043715410
-
- Gastroenterology Physician
- Yorba Linda, CA
- NPI 1053321943
NPI Registry JSON
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": [],
"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"
}
]
}
Other providers in Orange, CA
- Regents of the University of California (Aesthetic & Plastic Surgery Institute)
- Regents of the University of California (UCI Department of Ophthalmology)
- Regents of the University of California (UCI Department of Pathology)
- Regents of the University of California
- Regents of the University of California (Neurosurgical Associates of Irvine)
- Regents of the University of California
- Regents of the University of California (Uci-PBG Surgery)
- Regents of the University of California (UCI Ophthalmology Group)
- Regents of the University of California
- Regents of the University of Claifornia Univ Neursciences
Sources for this page
- 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.