Ira Vidor, M.D., a Professional Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A108065 Issued in CA

Legal business name

IRA VIDOR, M.D., A PROFESSIONAL CORPORATION

Practice address

366 San Miguel Dr Ste 300
Newport Beach, CA 92660

Phone

(949) 999-8717

Fax

(949) 315-3449

NPI assigned

Dec 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ira Vidor, M.D.NPI 1467582106

Title

Physician

Phone

(949) 689-8786

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Ira Vidor, MD

  • Ophthalmology Physician
  • Colton, CA
  • NPI 1467582106
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1740688654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 SAN MIGUEL DR STE 300",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607810",
            "telephone_number": "949-999-8717",
            "fax_number": "949-315-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 SAN MIGUEL DR STE 300",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-999-8717",
            "fax_number": "949-315-3449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Avocado Ave",
            "address_2": "810",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926607720",
            "country_code": "US",
            "telephone_number": "949-999-8717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IRA VIDOR, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "VIDOR",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "949-689-8786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A108065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intensive Primary Care Ca2 PC
• Interventional Pain Medical Group
• Christopher Iorizzo
• Tze Chow Ip, M.D.
• Tze Yung Ip, MD
• Andrew S Iraniha, M.D.,F.A.C.S
• Leila M Iravani, M.D
• Rachel M Irish, PHD
• Kimberly Isberto, PNP
• Taryn Ishida, ARNP

• Ophthalmology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.