Active NPI
Jason Alan Dugan, MD, MBA
- Internal Medicine Physician
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A120759
- Practice address
- 4050 Barranca Pkwy
Suite 200
Irvine, CA 92604-7706 - Phone
- (949) 551-1090
- NPI assigned
- May 22, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A120759 | CA | Primary |
Addresses
Primary practice location
4050 Barranca Pkwy
Suite 200
Irvine, CA 92604-7706
Mailing address
17360 Brookhurst St
Attn: MCMF Credentialing Dept.
Fountain Valley, CA 92708-3720
Other practice location 1
26800 Crown Valley Pkwy Ste 325
Mission Viejo, CA 92691-6384
Phone (949) 364-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A120759 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorialcare Medical Foundation | Internal Medicine | Current | Accepting new patients |
Locations
722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300
17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592
4050 Barranca Pkwy
Ste 200
Irvine, CA 92604
Phone (949) 551-1090
Interoperability endpoints
- jdugan193140@direct.memorialcare.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1750641874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17360 BROOKHURST ST",
"address_2": "ATTN: MCMF CREDENTIALING DEPT.",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 BARRANCA PKWY",
"address_2": "SUITE 200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926047706",
"telephone_number": "949-551-1090"
}
],
"practiceLocations": [
{
"address_1": "26800 Crown Valley Pkwy Ste 325",
"address_purpose": "LOCATION",
"city": "Mission Viejo",
"state": "CA",
"postal_code": "926916384",
"country_code": "US",
"telephone_number": "949-364-6000",
"fax_number": "949-364-9561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUGAN",
"first_name": "JASON",
"middle_name": "ALAN",
"credential": "MD, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-22",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A120759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.