Organization Active NPI

Ira Bell

  • Dermatology Physician
  • Lake Forest, CA
National Provider Identifier
1891978714
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G47339 Issued in CA
Legal business name
IRA BELL
Practice address
23832 Rockfield Blvd Ste 210
Lake Forest, CA 92630-2876
Phone
(949) 770-8115
Fax
(949) 770-2017
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Ira Bell, M.D.
Title
Owner
Phone
(949) 770-8115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X G47339 CA Primary

Addresses

Primary practice location

23832 Rockfield Blvd Ste 210
Lake Forest, CA 92630-2876

Mailing address

23832 Rockfield Blvd Ste 210
Lake Forest, CA 92630-2876
Phone (949) 770-8115

Other identifiers 1

IdentifierTypeStateIssuer
W11251OtherCAMEDICARE GROUP ID#

National Provider Directory

National Provider Directory

Locations

23832 Rockfield Blvd
Ste 210
Lake Forest, CA 92630
Phone (949) 770-8115

23832 Rockfield Blvd
Lake Forest, CA 92630

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1891978714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23832 ROCKFIELD BLVD STE 210",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302876",
            "telephone_number": "949-770-8115",
            "fax_number": "949-770-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23832 ROCKFIELD BLVD STE 210",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302876",
            "telephone_number": "949-770-8115",
            "fax_number": "949-770-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRA BELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-770-8115",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G47339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID#",
            "identifier": "W11251",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.