Irvine Medical Group

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

G32042 Issued in CA

Legal business name

IRVINE MEDICAL GROUP

Practice address

16300 Sand Canyon Ave
Suite 1009
Irvine, CA 92618-3711

Phone

(949) 727-3793

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Marshall Grossman

Title

Owner

Phone

(949) 727-3793

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Sheba Gabrail, M.D.

  • Specialist
  • Irvine, CA
  • NPI 1538247168
  NPD (past)
• Marjorie A Mosier, MD

  • Ophthalmology Physician
  • Irvine, CA
  • NPI 1962436154
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1891818019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE",
            "address_2": "SUITE 1009",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183711",
            "telephone_number": "949-727-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE",
            "address_2": "SUITE 1009",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183711",
            "telephone_number": "949-727-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-727-3793"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G32042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irvine Gastroenterology
• Irvine Green Acupuncture Inc
• Irvine Internal Medical Group, Inc.
• Irvine Internal Medical Group, Inc.
• Irvine Kid'S Dentist
• Irvine Medical Pharmacy Inc
• Irvine Meridian Health Center, Inc.
• Irvine Multi Specialty Surgical Care
• Irvine Orthopaedic Associates
• Irvine Osteopathic Fitness Study Group

• Endocrinology, Diabetes & Metabolism Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.