Irvine Digestive Disease Center Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

A41465 Issued in CA

Legal business name

IRVINE DIGESTIVE DISEASE CENTER INC

Practice address

113 Waterworks Way
Suite 315
Irvine, CA 92618-3167

Phone

(949) 552-9628

Fax

(949) 552-3758

NPI assigned

Jan 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Herbert H Lee, M.D.NPI 1740206689

Title

Medical Director

Phone

(949) 552-9628

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Irvine Digestive Disease Center IncCCN 05C0002002

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

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

• Herbert Lee, MD

  • Gastroenterology Physician
  • Irvine, CA
  • NPI 1740206689
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1700180957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY",
            "address_2": "SUITE 315",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183167",
            "telephone_number": "949-552-9628",
            "fax_number": "949-552-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY",
            "address_2": "SUITE 315",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183167",
            "telephone_number": "949-552-9628",
            "fax_number": "949-552-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINE DIGESTIVE DISEASE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-552-9628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "A41465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irvine Community Medical Center
• Irvine Dental Care
• Irvine Dental Center Inc
• Irvine Dentistry
• Irvine Diagnostic Laboratory
• Irvine Doctors of Kids and Teens
• Irvine Emergency Physicians Medical Group
• Irvine Endoscopy Partners LLC
• Irvine Eye Center Incorporated (Irvine Eye Center)
• Irvine Eye Medical Group

• Health Service Clinic/Center in Irvine, CA
• Providers in Irvine, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.