Organization Active NPI

Ventura Medical, Inc

  • Internal Medicine Physician
  • Irvine, CA
National Provider Identifier
1952605396
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C52547 Issued in CA
Legal business name
VENTURA MEDICAL, INC
Doing business as
OC VISITING PHYSICIANS
Practice address
3943 Irvine Blvd
Suite 120
Irvine, CA 92602-2400
Phone
(949) 900-6992
Fax
(949) 900-6993
NPI assigned
Dec 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Maryam Attar-Seyedi, M.D.
Title
Owner
Phone
(949) 907-7686

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X C52547 CA Primary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 20A10469 CA

Addresses

Primary practice location

3943 Irvine Blvd
Suite 120
Irvine, CA 92602-2400

Mailing address

3943 Irvine Blvd
Suite 120
Irvine, CA 92602-2400
Phone (949) 900-6992

Other identifiers 1

IdentifierTypeStateIssuer
EN251AOtherCAPTAN

Other names 1

  • OC VISITING PHYSICIANS Doing business as

National Provider Directory

National Provider Directory

Locations

22921 Triton Way
Ste 125
Laguna Hills, CA 92653
Phone (949) 366-1053

NPI Registry JSON

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1952605396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3943 IRVINE BLVD",
            "address_2": "SUITE 120",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022400",
            "telephone_number": "949-900-6992",
            "fax_number": "949-900-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3943 IRVINE BLVD",
            "address_2": "SUITE 120",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022400",
            "telephone_number": "949-900-6992",
            "fax_number": "949-900-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "ATTAR-SEYEDI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-907-7686",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C52547",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A10469",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "EN251A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OC VISITING PHYSICIANS",
            "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 Feb 5, 2015; 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.