Active NPI
Community Performancerx Mso, LLC
- Case Management Agency
- Irvine, CA
National Provider Identifier
1891148102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- COMMUNITY PERFORMANCERX MSO, LLC
- Practice address
- 9701 Jeronimo Rd
Suite 300
Irvine, CA 92618-2076 - Phone
- (800) 960-8147
- NPI assigned
- Jul 21, 2016
- 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
- Michael Volpe
- Title
- Authorized Representative
- Phone
- (949) 313-6470
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | |||
| Internal Medicine Physician | 207R00000X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | |||
| General Practice Physician | 208D00000X | |||
| Case Management Agency | 251B00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Clinical Nurse Specialist | 364S00000X | |||
| Chronic Care Clinical Nurse Specialist | 364SC2300X |
Addresses
Primary practice location
9701 Jeronimo Rd
Suite 300
Irvine, CA 92618-2076
Mailing address
9701 Jeronimo Rd
Suite 300
Irvine, CA 92618-2076
Phone (800) 960-8147
National Provider Directory
National Provider DirectoryLocations
9701 Jeronimo Rd
Ste 300
Irvine, CA 92618
Phone (800) 960-8147
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Irvine, CA
- NPI 1710527171
-
- Pharmacist
- Foster City, CA
- NPI 1083203087
-
- Pharmacist
- Fullerton, CA
- NPI 1720551054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537228800000",
"number": "1891148102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9701 JERONIMO RD",
"address_2": "SUITE 300",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182076",
"telephone_number": "800-960-8147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9701 JERONIMO RD",
"address_2": "SUITE 300",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182076",
"telephone_number": "800-960-8147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY PERFORMANCERX MSO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-21",
"last_updated": "2018-09-18",
"status": "A",
"authorized_official_last_name": "VOLPE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "949-313-6470"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SC2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Chronic Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.