Organization Active NPI

UC Regents Surgery Laser University Phy

  • Surgery Physician
  • Irvine, CA
National Provider Identifier
1912102161
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
UC REGENTS SURGERY LASER UNIVERSITY PHY
Practice address
1002 Health Sciences Rd East
Irvine, CA 92612-3010
Phone
(949) 824-4269
Fax
(949) 824-2726
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Dr. John S Nelson, M.D
Title
Medical Director
Phone
(949) 824-7526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X CA Primary

Addresses

Primary practice location

1002 Health Sciences Rd East
Irvine, CA 92612-3010

Mailing address

PO Box 513375
Los Angeles, CA 90051-3375
Phone (949) 824-4269

Other names 1

  • UC Regents Surgery Laser University Phy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1912102161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513375",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900513375",
            "telephone_number": "949-824-4269",
            "fax_number": "949-824-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 HEALTH SCIENCES RD EAST",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926123010",
            "telephone_number": "949-824-4269",
            "fax_number": "949-824-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC REGENTS SURGERY LASER UNIVERSITY PHY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-824-7526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UC Regents Surgery Laser University Phy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 11, 2008; 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.