Active NPI
Aquaphire Inc
- Dermatopathology (Pathology) Physician
- San Juan Capistrano, CA
National Provider Identifier
1861862385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- A112182
- Legal business name
- AQUAPHIRE INC
- Practice address
- 31899 Del Obispo St
Suite 130
San Juan Capistrano, CA 92675-3234 - Phone
- (949) 359-6400
- NPI assigned
- Sep 26, 2015
- 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
- Dr. Michelle Cathleen Hure, M.D.
- Title
- President
- Phone
- (949) 359-6400
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | A112182 | CA | Primary |
| General Practice Physician | 208D00000X | A112182 | CA |
Addresses
Primary practice location
31899 Del Obispo St
Suite 130
San Juan Capistrano, CA 92675-3234
Mailing address
31899 Del Obispo St.
Suite 130
San Juan Capistrano, CA 92675
Phone (949) 359-6400
Other names 1
- Orange County Skin Lab
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151229000893 | CA | Part B Supplier - Clinic/Group Practice | 1254632706 |
Receives reassigned benefits from 1 practitioner Practice locations: San Juan Capistrano, CA |
National Provider Directory
National Provider DirectoryLocations
31899 Del Obispo St
Ste 130
San Juan Capistrano, CA 92675
Phone (949) 359-6400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatopathology (Pathology) Physician
- San Juan Capistrano, CA
- NPI 1760656169
CA, Dermatopathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1861862385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31899 DEL OBISPO ST.",
"address_2": "SUITE 130",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "92675",
"telephone_number": "949-359-6400",
"fax_number": "949-335-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31899 DEL OBISPO ST",
"address_2": "SUITE 130",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926753234",
"telephone_number": "949-359-6400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AQUAPHIRE INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-26",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "HURE",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "CATHLEEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-359-6400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Dermatopathology",
"state": "CA",
"license": "A112182",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "A112182",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Orange County Skin Lab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Juan Capistrano, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.