IRVINE PROFESSIONAL MEDICAL GROUP, INC


Address: 3500 Barranca Pkwy, Suite 330, Irvine, CA 92606-8226
Phone: 9495528217

IRVINE PROFESSIONAL MEDICAL GROUP, INC (NPI# 1568702835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568702835
Entity Type Organization
Organization Name IRVINE PROFESSIONAL MEDICAL GROUP, INC
Other Organization Name IRVINE PROFESSIONAL MEDICAL GROUP, INC
Practice Address 3500 Barranca Pkwy
Suite 330
Irvine
CA 92606-8226
Mailing Address 5626 Oberlin Dr
Suite 110
San Diego
CA 92121-1705
Practice Telephone 9495528217
Enumeration Date 2013-02-25
Last Update Date 2013-02-25
Authorized Official Name KENNY HEINE (VP OPS)
Authorized Official Telephone 8589641506
Is Organization Subpart Y
Parent Organization Name MEDVANTX, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site A107209 CA Suppliers

Other Provider/Organization Names

Other Name Type Code
IRVINE PROFESSIONAL MEDICAL GROUP, INC Doing Business As Name - Organization

Office Location

Street Address 3500 BARRANCA PKWY
SUITE 330
City IRVINE
State CA
Zip Code 92606-8226

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639119118 Frank D Yelian Obstetrics & Gynecology 3500 Barranca Pkwy, Suite 300, Irvine, CA 92606-8226 2006-06-07
1538533583 Surgicare of La Veta, Ltd. Clinic/Center 3500 Barranca Pkwy, Suite 130, Irvine, CA 92606-8226 2015-11-13
1649513987 Alexander Andrew Lui Physical Therapist 3500 Barranca Pkwy, Suite 220, Irvine, CA 92606-8226 2013-04-05
1669714044 Sherwin De Guzman Physical Therapist 3500 Barranca Pkwy, Suite 220, Irvine, CA 92606-8226 2013-03-22
1922356377 Ruth Marie Olivia Meltzer Physical Therapist 3500 Barranca Pkwy, Suite 220, Irvine, CA 92606-8226 2012-08-16
1871840215 Lauren Cambra Physical Therapist 3500 Barranca Pkwy, Suite 220, Irvine, CA 92606-8226 2012-08-03
1366725590 Pediatric Dermatology of Orange County PC Dermatology 3500 Barranca Pkwy, Ste 160, Irvine, CA 92606-8226 2011-09-23
1659666964 Seon Ryang Kim Acupuncturist 3500 Barranca Pkwy, #330, Irvine, CA 92606-8226 2011-06-15
1346554904 Life Ivf Center Clinic/Center 3500 Barranca Pkwy, Suite 300, Irvine, CA 92606-8226 2010-08-05
1376863795 Serene Sleep Management, LLC Clinic/Center 3500 Barranca Pkwy, Ste 150, Irvine, CA 92606-8226 2010-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912384967 Roxanne Betancourt Behavioral Analyst 16782 Von Karman Avenue Suite 11, Irvine, CA 92606 2015-04-29
1942552096 East Haradin Acupuncturist 3 Corporate Park, Irvine, CA 92606 2012-10-12
1730434622 Fountain Modern Dentistry and Orthodontics, LLP Dentist 2860 Michelle Drive 2nd Floor, Irvine, CA 92606 2012-07-17
1205100898 Maria Del Pilar Aguero Marriage & Family Therapist 20 Corporate Park #118, Irvine, CA 92606 2012-02-29
1013292077 Hanah &health, Inc. Acupuncturist 2691 Richter Ave Suite 120, Irvine, CA 92606 2011-10-20
1831474345 Elham Shoja Psychologist 8 Corporate Park Suite 300, Irvine, CA 92606 2011-10-15
1154631869 Frances Lam Acupuncturist 2400 Alton Ave., Ste. 208, Irvine, CA 92606 2010-10-15
1174848055 Oc Physical Therapy Corporation Clinic/Center 62 Coporate Park, 145, Irvine, CA 92606 2010-04-02
1770714941 Yuhong She Obstetrics & Gynecology 3500 Barranca Parkway, Ste. 230, Irvine, CA 92606 2009-08-05
1235396136 Kevin K Lim Dentist 16525 Von Karman Ave, #f, Irvine, CA 92606 2008-05-19
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Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306384375 St. Jude Hospital Yorba Linda Non-Pharmacy Dispensing Site 3355 Michelson Dr, Suite 490, Irvine, CA 92612-0684 2017-02-09
1396283453 St. Jude Hospital Yorba Linda Non-Pharmacy Dispensing Site 57 Prism, Irvine, CA 92618-3148 2017-02-08
1427596212 St. Jude Hospital Yorba Linda Non-Pharmacy Dispensing Site 3345 Michelson Dr, Suite 350, Irvine, CA 92612-0692 2017-02-01
1306384185 St. Jude Hospital Yorba Linda Non-Pharmacy Dispensing Site 4 Park Plz, Suite 150, Irvine, CA 92614-8560 2017-02-01
1306383427 St. Jude Hospital Yorba Linda Non-Pharmacy Dispensing Site 52 Discovery, Irvine, CA 92618-3105 2017-01-26
1003284258 South Coast Medical Center for New Medicine, Inc. Non-Pharmacy Dispensing Site 6 Hughes Ste 100, Irvine, CA 92618-2060 2015-09-04
1992057897 Artisan Foot and Ankle Specialist, Inc Non-Pharmacy Dispensing Site 22 Odyssey, Irvine, CA 92618-3186 2012-10-03
1932474780 Edward A. Balbas, PC Non-Pharmacy Dispensing Site 17264 Red Hill Ave, Irvine, CA 92614-5628 2012-03-13
1114299948 Joseph Medical Group, Inc. Non-Pharmacy Dispensing Site 15775 Laguna Canyon Rd, Ste 210, Irvine, CA 92618-3189 2012-02-09
1336443027 Brent E Silvers, Md Inc Non-Pharmacy Dispensing Site 2 Hughes, Ste 150, Irvine, CA 92618-2056 2011-01-10
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Competitor

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City IRVINE
Zip Code 92606

Improve Information

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Dataset Information

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.

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