Breast Center of Irvine Inc

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

Legal business name

BREAST CENTER OF IRVINE INC

Practice address

16100 Sand Canyon Ave Ste 100
Irvine, CA 92618-3721

Phone

(949) 502-3489

NPI assigned

May 3, 2019

Last updated

Jul 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lucy Barnes

Title

Director of Medical Management

Phone

(949) 417-1100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maximilian Yue Cho, M.D.

  • Diagnostic Radiology Physician
  • San Gabriel, CA
  • NPI 1790049773
  NPD
• Reza Dehdari, M.D.

  • Diagnostic Radiology Physician
  • Tustin, CA
  • NPI 1508024126
  NPD
• Ashraf Hawari, M.D.

  • Diagnostic Radiology Physician
  • Marina del Rey, CA
  • NPI 1609076546
  NPD
• James Lin Jr., M.D.

  • Vascular & Interventional Radiology Physician
  • West Covina, CA
  • NPI 1255423489
  NPD
• Aldric Jaeseung Shim, MD

  • Diagnostic Radiology Physician
  • Monterey Park, CA
  • NPI 1114146560
  NPD
• Tinoosh Zand, M.D.

  • Diagnostic Radiology Physician
  • Alhambra, CA
  • NPI 1568494094
  NPD

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1881259901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183721",
            "telephone_number": "949-502-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183721",
            "telephone_number": "949-502-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST CENTER OF IRVINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "DIRECTOR OF MEDICAL MANAGEMENT",
        "authorized_official_telephone_number": "949-417-1100"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizette Bravo
• Lucia Bravo
• Bray Plastic Surgery Medical Center Inc
• Ronald Douglas Brazil
• Breakthrough Genomics Inc (Breakthrough Genomics)
• Bethany Breiter
• Mary Elizabeth Bremer, OT
• Eva Marie Bremser-Jiles, NP-C
• Patricia Brenn
• Ellaine Brennan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.

Verify at the official NPI Registry.