Irvine Family Medicine, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G39931 Issued in CA

Legal business name

IRVINE FAMILY MEDICINE, INC.

Practice address

4950 Barranca Pkwy
Suite 103C
Irvine, CA 92604-4671

Phone

(949) 552-8585

Fax

(949) 552-8615

NPI assigned

Sep 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Shaw, M.D.NPI 1952369225

Title

Owner

Phone

(949) 552-8585

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Michael J Shaw, MD

  • Adult Medicine Physician
  • Irvine, CA
  • NPI 1952369225
  NPD (past) Authorized official

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1831291665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 BARRANCA PKWY",
            "address_2": "SUITE 103C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044671",
            "telephone_number": "949-552-8585",
            "fax_number": "949-552-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 BARRANCA PKWY",
            "address_2": "SUITE 103C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044671",
            "telephone_number": "949-552-8585",
            "fax_number": "949-552-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINE FAMILY MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-552-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G39931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI NUMBER",
            "identifier": "1952369225",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irvine Eye Medical Group
• Irvine Eye Physicians and Surgeons Incorporated
• Irvine Family Acupuncture &Herbs
• Irvine Family Care, Inc
• Irvine Family Clinic Inc
• Irvine Family Practice Medical
• Irvine Gastroenterology
• Irvine Green Acupuncture Inc
• Irvine Internal Medical Group, Inc.
• Irvine Internal Medical Group, Inc.

• Primary Care Clinic/Center in Irvine, CA
• Providers in Irvine, CA by specialty
• Primary Care Clinic/Center in California

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