1. Home
  2. Directory
  3. California
  4. Irvine
  5. Nurse Practitioner
  6. NPI Profile

MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF ORANGE COUNTY INC
NPI 1104013879
Nurse Practitioner in Irvine, CA

Active since September 26, 2007CLIA Certified · 14 labs
14330 CULVER DR, IRVINE, CA 92604(866) 389-2727(401) 406-3539 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 11, 2024, Jun 24, 2024, Feb 4, 2022 and 1 more (4 updates tracked since 2020).

About Minuteclinic Diagnostic Medical Group Of Orange County Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF ORANGE COUNTY INC (NPI 1104013879) is a healthcare organization registered as a nurse practitioner in Irvine, California and active in the NPI registry since September 2007. The organization holds 14 active CLIA laboratory certificates and lists Deborah Pincince, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104013879
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF ORANGE COUNTY INC
Location Address14330 CULVER DRIrvine, CA 92604-0303
Mailing AddressPo Box 772, Minuteclinic CredentialingWoonsocket, RI 02895-0784 · (866) 389-2727 · Fax (401) 406-3539
Phone(866) 389-2727
Fax(401) 406-3539
Organization SubpartNo
Authorized OfficialDeborah PincinceAdministrator · (401) 770-3813
Enumeration DateSeptember 26, 2007
Last NPPES UpdateOctober 11, 20244 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
✔ NPI 1104013879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
14330 CULVER DR, Irvine, CA 92604
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Minuteclinic Diagnostic Medical Group Of Orange County Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

210

Medicare enrollment records show 210 clinicians reassign Medicare billing to Minuteclinic Diagnostic Medical Group Of Orange County Inc, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner204
Clinical Social Worker3
Marriage and Family Therapist1
Mental Health Counselor1
Ophthalmology1

Nearest to this location (20)

See all 210
Feng Xiao
Nurse Practitioner
NPI 1649800913
14330 CULVER DR
Irvine, CA 92604
(866) 389-2727
✔ PECOS✔ Accepts MedicareSame address
Salma Nawabi
Nurse Practitioner
NPI 1013197946
14330 CULVER DR
Irvine, CA 92604
(949) 559-8129
✔ PECOSSame address
Deniz Aslan, RN,NP
Nurse Practitioner
NPI 1629754676
14330 CULVER DR
Irvine, CA 92604
(866) 389-2727
✔ PECOS✔ Accepts MedicareSame address
Jung Hyun Lee
Nurse Practitioner
NPI 1235010240
14330 CULVER DR
Irvine, CA 92604
(909) 999-1432
✔ PECOS✔ Accepts MedicareSame address
Stacy Nakamura
Clinical Social Worker
NPI 1346428224
14330 CULVER DR
Irvine, CA 92604
(949) 559-8129
✔ PECOS✔ Accepts MedicareSame address
Gina Senf, FNP
Nurse Practitioner
NPI 1316290166
14330 CULVER DR
Irvine, CA 92604
(949) 559-8129
✔ PECOS✔ Accepts MedicareSame address
Vanessa Yvonne Santiago, FNP
Nurse Practitioner
NPI 1063147452
1 HOPE DR
Tustin, CA 92782
(714) 247-0300
✔ PECOS2.9 mi
Padmaja Gadadoss
Nurse Practitioner
NPI 1952657702
156 CLEARBROOK
Irvine, CA 92614
(949) 681-8192
✔ PECOS✔ Accepts Medicare3.0 mi
Tsigereda Tesfaye, NP
Nurse Practitioner
NPI 1386031086
1095 IRVINE BLVD
Tustin, CA 92780
(714) 505-7110
✔ PECOS✔ Accepts Medicare3.3 mi
Young-Sik Cho, NP
Nurse Practitioner
NPI 1063937902
3345 MICHELSON DR STE 100
Irvine, CA 92612
(888) 227-3312
✔ PECOS4.0 mi
Jacquelyn Smith-Douglas, FNP
Nurse Practitioner
NPI 1598336828
150 PAULARINO AVE
Costa Mesa, CA 92626
(949) 556-3433
✔ PECOS✔ Accepts Medicare5.5 mi
Marenna Cowan, FNP-C
Nurse Practitioner
NPI 1063078806
660 BAKER ST STE A102
Costa Mesa, CA 92626
(714) 668-2505
✔ PECOS✔ Accepts Medicare6.0 mi
Heesook Choi, NP
Nurse Practitioner
NPI 1679068845
1150 BAKER ST
Costa Mesa, CA 92626
(714) 662-7517
✔ PECOS✔ Accepts Medicare7.1 mi
Jemell Joven, DNP, FNP
Nurse Practitioner
NPI 1447068440
101 THE CITY DR S
Orange, CA 92868
(888) 717-4463
✔ PECOS✔ Accepts Medicare8.0 mi
Desiree Nelson
Nurse Practitioner
NPI 1417539321
1 HOAG DR BLDG 41
Newport Beach, CA 92663
(612) 968-5490
✔ PECOS✔ Accepts Medicare9.7 mi
Cynthia Sepulveda, FNP-C
Nurse Practitioner
NPI 1649819368
5630 E SANTA ANA CANYON RD
Anaheim, CA 92807
(714) 257-6172
✔ PECOS✔ Accepts Medicare10 mi
Bri'andra Grantham, FNP
Nurse Practitioner
NPI 1982204533
9131 ADAMS AVE
Huntington Beach, CA 92646
(714) 845-5900
✔ PECOS11 mi
Karren Tan, NP
Nurse Practitioner
NPI 1578226064
761 S WEIR CANYON RD STE 185
Anaheim, CA 92808
(714) 282-6934
✔ PECOS✔ Accepts Medicare11 mi
Sharon Lee, PMHNP, FNP
Nurse Practitioner
NPI 1073073649
1711 W KATELLA AVE
Anaheim, CA 92804
(714) 400-2959
✔ PECOS✔ Accepts Medicare11 mi
Jennifer Santero, FNP
Nurse Practitioner
NPI 1639258296
19121 BEACH BLVD
Huntington Beach, CA 92648
(714) 848-1522
✔ PECOS✔ Accepts Medicare12 mi
See all 210 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 15

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1074017

Minuteclinic Diagnostic Medical Group Of Orange County, Inc (clinic #9497) · Irvine, CA
Active · expires Sep 19, 2027
CLIA Number05D1074017
Laboratory TypeLimited Svc Health Clinic
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorDr. David G. Fairchild
Laboratory Phone(866) 389-2727
Laboratory LocationMinuteclinic Diagnostic Medical Group Of Orange County, Inc (clinic #9497)14330 Culver Drive, Irvine, CA 92604
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D1078508

Minuteclinic Diagnostic Medical Group Of Orange County Inc (clinic#09803) · Riverside, CA
Active · expires Jan 9, 2028
CLIA Number05D1078508
Laboratory TypeLimited Svc Health Clinic
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorDr. David G. Fairchild
Laboratory Phone(866) 389-2727
Laboratory LocationMinuteclinic Diagnostic Medical Group Of Orange County Inc (clinic#09803)491 E Allesandro Blvd, Riverside, CA 92508
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D1078512

Minuteclinic Diagnostic Medical Group Of Orange County Inc (clinic# 9492 · Yorba Linda, CA
Active · expires Jan 9, 2028
CLIA Number05D1078512
Laboratory TypeLimited Svc Health Clinic
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorDr. David G. Fairchild
Laboratory Phone(866) 389-2727
Laboratory LocationMinuteclinic Diagnostic Medical Group Of Orange County Inc (clinic# 949218080 Imperial Hwy, Yorba Linda, CA 92886
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D1074014

Minuteclinic Diagnostic Medical Group Of Orange County, Inc (clinic#08843) · Seal Beach, CA
Active · expires Sep 19, 2027
CLIA Number05D1074014
Laboratory TypeLimited Svc Health Clinic
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorDr. David G. Fairchild
Laboratory Phone(866) 389-2727
Laboratory LocationMinuteclinic Diagnostic Medical Group Of Orange County, Inc (clinic#08843)921 Pacific Coast Highway, Seal Beach, CA 90740
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D1078632

Minuteclinic Diagnostic Medical Group Of California, Inc (clinic # 09707) · Sherman Oaks, CA
Active · expires Apr 18, 2028
CLIA Number05D1078632
Laboratory TypeLimited Svc Health Clinic
Certificate Effective DateApril 19, 2026
Certificate Expiration DateApril 18, 2028
Laboratory DirectorDavid G. Fairchild
Laboratory Phone(866) 389-2727
Laboratory LocationMinuteclinic Diagnostic Medical Group Of California, Inc (clinic # 09707)14735 Ventura Blvd, Sherman Oaks, CA 91403
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D1078582

Minuteclinic Diagnostic Medical Group Of San Diego, Inc (clinic #9111) · Rancho Bernardo, CA
Active · expires Jan 10, 2028
CLIA Number05D1078582
Laboratory TypeLimited Serv Health Care
Certificate Effective DateJanuary 11, 2026
Certificate Expiration DateJanuary 10, 2028
Laboratory DirectorDr. David G. Fairchild
Laboratory Phone(866) 389-2727
Laboratory LocationMinuteclinic Diagnostic Medical Group Of San Diego, Inc (clinic #9111)16773 Bernardo Center Drive, Rancho Bernardo, CA 92128
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minuteclinic Diagnostic Medical Group Of Orange County Inc's NPI number?

The NPI number for Minuteclinic Diagnostic Medical Group Of Orange County Inc is 1104013879. It was assigned to this organization in the NPPES registry on September 26, 2007.

Where is Minuteclinic Diagnostic Medical Group Of Orange County Inc located?

Minuteclinic Diagnostic Medical Group Of Orange County Inc is located at 14330 Culver Dr, Irvine, CA 92604. The listed phone number is (866) 389-2727.

What is Minuteclinic Diagnostic Medical Group Of Orange County Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Minuteclinic Diagnostic Medical Group Of Orange County Inc enrolled in Medicare?

Yes. Minuteclinic Diagnostic Medical Group Of Orange County Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Minuteclinic Diagnostic Medical Group Of Orange County Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 210 clinicians in 5 Medicare specialties reassign their Medicare billing to Minuteclinic Diagnostic Medical Group Of Orange County Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (204), Clinical Social Worker (3) and Marriage and Family Therapist (1). Of these, 6 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Minuteclinic Diagnostic Medical Group Of Orange County Inc hold CLIA laboratory certificates?

Yes. 14 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Minuteclinic Diagnostic Medical Group Of Orange County Inc accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and UnitedHealthcare list Minuteclinic Diagnostic Medical Group Of Orange County Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Minuteclinic Diagnostic Medical Group Of Orange County Inc was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.