IRVINE PRIMARY CARE ASSOCIATES MEDICAL GROUP INC (NPI# 1164782421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164782421 |
| Entity Type | Organization |
| Organization Name | IRVINE PRIMARY CARE ASSOCIATES MEDICAL GROUP INC |
| Practice Address |
825 Polaris Dr Tustin CA 92782-1721 |
| Practice Telephone | 7148969697 |
| Practice Fax Number | 7148968752 |
| Mailing Telephone | 7148969697 |
| Mailing Fax Number | 7148968752 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |
| Authorized Official Name | KARLA D MILLIGAN (BILLING MANAGER) |
| Authorized Official Telephone | 7148969697 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | CA | Allopathic & Osteopathic Physicians |
| Street Address |
825 POLARIS DR |
| City | TUSTIN |
| State | CA |
| Zip Code | 92782-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548890528 | Christina Maria Clayton | Registered Nurse | 3100 Park Ave Apt 7-201, Tustin, CA 92782 | 2020-01-18 |
| 1447769963 | National Vision, Inc. | Technician/Technologist | 15020 Kensington Park Drive, J300, Tustin, CA 92782 | 2017-09-27 |
| 1487175410 | Vanson Dental Corporation | Dentist | 15160 Kensington Park Drive, Ste 610, Tustin, CA 92782 | 2017-06-29 |
| 1982133526 | Hee Eun Lee | Occupational Therapist | 2741 Dunstan Drive, Tustin, CA 92782 | 2017-06-07 |
| 1881129229 | Lydia Anna Bray | Pharmacist | 2102 Seminole, Tustin, CA 92782 | 2017-04-24 |
| 1427591577 | Charlie Huang | Internal Medicine | 15000 Kensington Park Dr Ste 250, Tustin, CA 92782 | 2016-11-21 |
| 1144672270 | Leiza Yamila Walia | Dentist | 15160 Kensington Park Dr Ste 610, Tustin, CA 92782 | 2016-07-13 |
| 1467831131 | Steven Yi Sun | Pediatrics | 15000 Kensington Park Dr, Tustin, CA 92782 | 2015-05-27 |
| 1639506405 | Medivan | Non-emergency Medical Transport (VAN) | 13800 Parkcenter Lane, Tustin, CA 92782 | 2013-10-10 |
| 1124266085 | Stacie Lynn Aragon | Counselor | 1 Hope Dr., Tustin, CA 92782 | 2009-01-30 |
| Find all providers in zip 92782 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427591577 | Charlie Huang | Internal Medicine | 15000 Kensington Park Dr Ste 250, Tustin, CA 92782 | 2016-11-21 |
| 1457715682 | All Lasers Medi Spa Inc. | Internal Medicine | 13273 Jamboree Rd, Tustin, CA 92782-9159 | 2016-04-13 |
| 1699909622 | Thao P Phung | Internal Medicine | 2913 El Camino Real Ste 316, Tustin, CA 92782-8909 | 2009-05-05 |
| 1326247669 | Don S Oh | Internal Medicine | 2488 Aquasanta, Tustin, CA 92782-1103 | 2007-07-17 |
| 1932305034 | Quyen Dao | Internal Medicine | 17542 17th St, Suite 410, Tustin, CA 92780-1959 | 2007-06-25 |
| 1295866341 | David A Mcdonough | Internal Medicine | 111 Fashion Ln Ste 200, Tustin, CA 92780-3306 | 2007-03-08 |
| 1982759114 | Jean Louis Selam | Internal Medicine | 2492 Walnut Ave, Suite # 130, Tustin, CA 92780-6953 | 2007-01-25 |
| 1043366164 | Vista Medical Partners A Professional Corporation | Internal Medicine | 1382 Valencia Ave Ste F, Tustin, CA 92780-6472 | 2007-01-25 |
| 1659451268 | Chalat Rajaram | Internal Medicine | 14901 Foxcroft Rd, Tustin, CA 92780-6726 | 2006-10-17 |
| 1396831889 | Kien Phuc Tran | Internal Medicine | 15491 Pasadena Ave Apt 87, Tustin, CA 92780-4247 | 2006-10-04 |
| Find all providers in TUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.