NPIMap

Organization Active NPI

Regents of the University of California

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Orange, CA
National Provider Identifier
1790741866
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Practice address
101 City Dr South
BLDG 52, Rte 9
Orange, CA 92868
Phone
(714) 456-5555
Fax
(714) 456-7816
NPI assigned
Apr 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Dr. Ralph Clayman, MDNPI 1336243922
Title
Dean, School of Medicine
Phone
(949) 824-5926

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
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

101 City Dr South
BLDG 52, Rte 9
Orange, CA 92868

Mailing address

PO Box 373
Orange, CA 92856-6373
Phone (714) 456-6238

Other identifiers 1

IdentifierTypeStateIssuer
CDC70039FMedicaidCA

Other names 1

  • UCI Renal Dialysis Other name

National Provider Directory

National Provider Directory
Tax ID family
Regents of the University of California42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

101 The City Dr S
#52
Orange, CA 92868
Phone (714) 456-3568

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1790741866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928566373",
            "telephone_number": "714-456-6238",
            "fax_number": "714-456-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CITY DR SOUTH",
            "address_2": "BLDG 52, RTE 9",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-456-5555",
            "fax_number": "714-456-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "CLAYMAN",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "DEAN, SCHOOL OF MEDICINE",
        "authorized_official_telephone_number": "949-824-5926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC70039F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCI Renal Dialysis",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 22, 2014; 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.