Active NPI
Universal Integrated Health Medical Group Inc.
- Health Service Clinic/Center
- Newport Beach, CA
National Provider Identifier
1811192081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- A40490
- Legal business name
- UNIVERSAL INTEGRATED HEALTH MEDICAL GROUP INC.
- Practice address
- 4100 Birch St., Suite 200
Newport Beach, CA 92660 - Phone
- (949) 417-0420
- Fax
- (877) 631-2676
- NPI assigned
- Jun 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kamer Migirdichian
- Title
- Ceo
- Phone
- (949) 417-0420
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | A40490 | CA | Primary |
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
4100 Birch St., Suite 200
Newport Beach, CA 92660
Mailing address
4100 Birch St., Suite 200
Newport Beach, CA 92660
Phone (949) 417-0420
Other names 2
- Newport Crest Medical
- Newport Crest Medical Center
National Provider Directory
National Provider DirectoryLocations
3900 Campus Dr
Newport Beach, CA 92660
Phone (310) 410-1944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708300800000",
"number": "1811192081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 BIRCH ST., SUITE 200",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "92660",
"telephone_number": "949-417-0420",
"fax_number": "877-631-2676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 BIRCH ST., SUITE 200",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "92660",
"telephone_number": "949-417-0420",
"fax_number": "877-631-2676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSAL INTEGRATED HEALTH MEDICAL GROUP INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-18",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A",
"authorized_official_last_name": "MIGIRDICHIAN",
"authorized_official_first_name": "KAMER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-417-0420"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "CA",
"license": "A40490",
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Newport Crest Medical",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Newport Crest Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.