NPIMap

Organization Active NPI

UC Irvine Medical Center

  • Clinic/Center
  • Orange, CA
National Provider Identifier
1720539711
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UC IRVINE MEDICAL CENTER
Practice address
101 The City Drive South, Senior Center, Pavilion IV
UC Irvine Medical Center - Geriatrics, Primary Care
Orange, CA 92868-3201
Phone
(714) 456-2332
Fax
(714) 456-5997
NPI assigned
Oct 14, 2016
Organization subpart
Yes
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Dr. Manuel Porto, M.D.
Title
President
Phone
(714) 456-2986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

101 The City Drive South, Senior Center, Pavilion IV
UC Irvine Medical Center - Geriatrics, Primary Care
Orange, CA 92868-3201

Mailing address

PO Box 513228
Los Angeles, CA 90051-3228
Phone (714) 456-6585

National Provider Directory

National Provider Directory
Tax ID family
Pace- UC Irvine Health Family Medicine5 organizations share this tax ID, including this one
Part of
Regents of the University of California

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1720539711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513228",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900513228",
            "telephone_number": "714-456-6585",
            "fax_number": "714-456-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DRIVE SOUTH, SENIOR CENTER, PAVILION IV",
            "address_2": "UC IRVINE MEDICAL CENTER - GERIATRICS, PRIMARY CARE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-456-2332",
            "fax_number": "714-456-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC IRVINE MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "PORTO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-456-2986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.