PREMIUM HEALTH OC INC (NPI# 1831712496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831712496 |
| Entity Type | Organization |
| Organization Name | PREMIUM HEALTH OC INC |
| Practice Address |
22 Odyssey Irvine CA 92618-3186 |
| Mailing Address |
59 Barcelona Irvine CA 92614-5334 |
| Practice Telephone | 9494639876 |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | RAMIN MONTAZERI (CEO) |
| Authorized Official Telephone | 9494639876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
22 ODYSSEY |
| City | IRVINE |
| State | CA |
| Zip Code | 92618-3186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043210578 | Matthew Wang | Optometrist | 22 Odyssey, Suite 150, Irvine, CA 92618 | 2005-07-27 |
| 1043798556 | Arturo Rodriguez | Physical Therapist | 22 Odyssey, Irvine, CA 92618 | 2018-08-06 |
| 1801327424 | Rochelle W. Roe, Inc. | Audiologist-Hearing Aid Fitter | 22 Odyssey, Suite 100, Irvine, CA 92618-3186 | 2017-03-24 |
| 1841645645 | Sara Amirmehrabi | Naturopath | 22 Odyssey, Suite 230, Irvine, CA 92618-3186 | 2016-04-28 |
| 1750775300 | Michael J Yoo, Md Inc | Otolaryngology | 22 Odyssey, Suite 270a, Irvine, CA 92618-3186 | 2015-03-21 |
| 1275922320 | Shady Safai | Dentist | 22 Odyssey, Irvine, CA 92618-3186 | 2015-01-13 |
| 1255735270 | Nuvo Dental | Dentist | 22 Odyssey, Suite 265, Irvine, CA 92618-3186 | 2014-10-20 |
| 1811390743 | Stemact.ink | Clinic/Center | 22 Odyssey, Suite 155, Irvine, CA 92618 | 2014-10-06 |
| 1417395120 | Jason Dorn | Physical Therapist | 22 Odyssey, Suite 260, Irvine, CA 92618-3186 | 2013-06-05 |
| 1033554944 | Advance Movement Physical Therapy | Clinic/Center | 22 Odyssey, Suite 260, Irvine, CA 92618-3186 | 2013-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982306 | Zermina Akbary | Registered Nurse | 131 Theme, Irvine, Irvine, CA 92618 | 2020-05-04 |
| 1760028575 | Leibow Psychology Group, PC | Counselor | 7725 Gateway #4203, Irvine, CA 92618 | 2019-11-27 |
| 1790263713 | Jw Professional Dental Corporation | Dentist | 14785 Jeffrey Rd. Ste 200, Irvine, CA 92618 | 2018-08-01 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1952899221 | Oneness Health Group Inc | Chiropractor | 25 Deergrass, Irvine, CA 92618 | 2018-04-23 |
| 1144738899 | Morvarid Emamy | Dentist | 23448 Spectrum, Irvine, CA 92618 | 2018-01-16 |
| 1083123194 | Ning Wang | Behavioral Analyst | 9844 Research Dr Ste 100, Irvine, CA 92618 | 2017-09-21 |
| 1043679715 | Dent All By Dr. Z | Dentist | 15362 Alton Parkway, Irvine, CA 92618 | 2016-02-23 |
| 1265897862 | Whitney Elyse Davies | Physical Therapist | 26650 Alton Parkway, Irvine, CA 92618 | 2015-12-23 |
| 1245619295 | Nora Witt | Registered Nurse | 16205 Sand Canyon Avenue, Suite 100, Irvine, CA 92618 | 2015-05-22 |
| Find all providers in zip 92618 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194381830 | Alex Wah Hin Yeung | General Practice | 8093 Scholarship # 2, Irvine, CA 92612-5697 | 2019-05-17 |
| 1114339272 | Ebenezer Wellness Center, Inc. | General Practice | 16261 Laguna Canyon Rd, Suite 100, Irvine, CA 92618-3608 | 2014-05-23 |
| 1689912917 | Wenhong Hsu | General Practice | 10 Ponderosa, Irvine, CA 92604-3748 | 2013-01-21 |
| 1477855856 | Khashayar Sarabi, Md, A Medical Corp | General Practice | 2967 Michelson Dr, Ste G444, Irvine, CA 92612-0657 | 2010-11-17 |
| 1649435199 | Raihan U. Haque | General Practice | 16460 Bake Pkwy, Irvine, CA 92618-4665 | 2008-07-24 |
| 1780851808 | Maryellen O'reilly | General Practice | 60 Discovery, Irvine, CA 92618-3105 | 2008-05-08 |
| 1821288630 | Meagan Marie Marcuccilli | General Practice | 4870 Barranca Pkwy Ste 110, Irvine, CA 92604-4787 | 2007-07-27 |
| 1780600486 | Sarah Elizabeth Stanton | General Practice | 9 Spring Buck, Irvine, CA 92614-7431 | 2006-07-14 |
| 1871558627 | Ray J Lee | General Practice | 6650 Alton Pkwy, Irvine, CA 92618-3734 | 2006-04-17 |
| 1225404957 | Pain Management Center of Irvine, Inc. | General Practice | 4902 Irvine Center Dr Ste 102, Irvine, CA 92604-3334 | 2015-08-17 |
| Find all providers in IRVINE | ||||
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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.