Organization Active NPI

Universal Integrated Health Medical Group Inc.

  • Health Service Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1811192081
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
A40490 Issued in CA
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

Updated by the provider on Feb 19, 2024

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)CodeLicenseStatePrimary
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 Doing business as
  • Newport Crest Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.