Organization Active NPI

F Lee Irwin Jr MD Inc

  • Interventional Pain Medicine Physician
  • Mission Viejo, CA
National Provider Identifier
1871721860
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A105673 Issued in CA
Legal business name
F LEE IRWIN JR MD INC
Practice address
26932 Oso Pkwy
Suite 275
Mission Viejo, CA 92691-5815
Phone
(949) 916-8100
Fax
(949) 916-8555
NPI assigned
Jun 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Franklin Lee Irwin, M.D.
Title
Owner
Phone
(949) 916-8100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X A105673 CA
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X A105673 CA Primary

Addresses

Primary practice location

26932 Oso Pkwy
Suite 275
Mission Viejo, CA 92691-5815

Mailing address

26131 Marguerite Pkwy
Suite a
Mission Viejo, CA 92692-3161
Phone (949) 582-8584

Other identifiers 2

IdentifierTypeStateIssuer
409525100MedicaidCA
CK243ZOtherCAMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

26932 Oso Pkwy
Ste 275
Mission Viejo, CA 92691
Phone (949) 916-8100

26131 Marguerite Pkwy
Ste A
Mission Viejo, CA 92692
Phone (949) 423-6006

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1871721860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26131 MARGUERITE PKWY",
            "address_2": "SUITE A",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923161",
            "telephone_number": "949-582-8584",
            "fax_number": "949-582-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26932 OSO PKWY",
            "address_2": "SUITE 275",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915815",
            "telephone_number": "949-916-8100",
            "fax_number": "949-916-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F LEE IRWIN JR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-916-8100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A105673",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A105673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409525100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CK243Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.