Organization Active NPI

Morgn Creek Medical Management, LLC

  • Clinical Medical Laboratory
  • Irvine, CA
National Provider Identifier
1801160403
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MORGN CREEK MEDICAL MANAGEMENT, LLC
Practice address
401 Rockefeller
Suite 409
Irvine, CA 92612-7179
Phone
(949) 407-9766
NPI assigned
Feb 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Tavia Morgan
Title
Managing Member
Phone
(949) 407-9766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

401 Rockefeller
Suite 409
Irvine, CA 92612-7179

Mailing address

401 Rockefeller
Suite 409
Irvine, CA 92612-7179
Phone (949) 407-9766

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1801160403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROCKEFELLER",
            "address_2": "SUITE 409",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926127179",
            "telephone_number": "949-407-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ROCKEFELLER",
            "address_2": "SUITE 409",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926127179",
            "telephone_number": "949-407-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGN CREEK MEDICAL MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "TAVIA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "949-407-9766"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "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 Feb 28, 2012; 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.