Organization Active NPI

Integra Health, PC

  • Pulmonary Disease Physician
  • Temecula, CA
National Provider Identifier
1790275550
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
20A16066 Issued in CA
Legal business name
INTEGRA HEALTH, PC
Practice address
44605 Avenida de Missiones Ste 206
Temecula, CA 92592-3098
Phone
(951) 200-5154
Fax
(951) 905-1611
NPI assigned
May 16, 2018
Last updated
May 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Dr. Xuanha Nguyen White, DONPI 1427346154
Title
President
Phone
(714) 260-2229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 20A16066 CA Primary

Addresses

Primary practice location

44605 Avenida de Missiones Ste 206
Temecula, CA 92592-3098

Mailing address

44605 Avenida de Missiones Ste 206
Temecula, CA 92592-3098
Phone (951) 200-5154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181001002237 CA Part B Supplier - Clinic/Group Practice 5991056921 Receives reassigned benefits from 6 practitioners
Practice locations: Irvine, CA; Laguna Hills, CA; Temecula, CA

National Provider Directory

National Provider Directory

Locations

23961 Calle de la Magdalena
Ste 530
Laguna Hills, CA 92653
Phone (949) 243-7006

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1790275550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44605 AVENIDA DE MISSIONES STE 206",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925923098",
            "telephone_number": "951-200-5154",
            "fax_number": "951-905-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44605 AVENIDA DE MISSIONES STE 206",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925923098",
            "telephone_number": "951-200-5154",
            "fax_number": "951-905-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "XUANHA",
        "authorized_official_middle_name": "NGUYEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-260-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "20A16066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.