PEDES ORANGE COUNTY, INC - NPI 1184999005

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0204X and a focus in Vascular & Interventional Radiology.

On this page

About Pedes Orange County, Inc NPPES

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

PEDES ORANGE COUNTY, INC (NPI 1184999005) is a healthcare organization registered as a vascular & interventional radiology in Irvine, California and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through July 14, 2028, maintains a secondary practice location in Irvine, and lists John J. Hewett, President, as its authorized official.

NPPES Registry Identity

NPI1184999005

Entity TypeOrganization

Primary Taxonomy2085R0204X

Legal Business NamePEDES ORANGE COUNTY, INC

Location Address1400 REYNOLDS AVE STE 110Irvine, CA 92614-5562

Mailing Address1400 Reynolds Ave Ste 110Irvine, CA 92614-5562 · (949) 387-4724 · Fax (949) 209-0407

Phone(949) 387-4724

Fax(949) 209-0407

Organization SubpartNo

Authorized OfficialJohn J. HewettPresident · (949) 387-4724

Enumeration DateMarch 9, 2012

Last NPPES UpdateMarch 3, 20263 updates tracked since enumeration

NPPES CertifiedMarch 3, 2026

✔ NPI 1184999005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X

1400 REYNOLDS AVE STE 110, Irvine, CA 92614

Open in Google Maps ↗

Secondary Practice Location 1

Location 11400 Reynolds Ave Ste 160Irvine, CA 92614-5515 · Phone (949) 387-4724 · Fax (949) 209-0407

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

CLIA Laboratory Certificates CMS CLIA

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 05D2307749

Pedes Orange County · Irvine, CA

Active · expires Jul 14, 2028

CLIA Number05D2307749

Laboratory TypePhysician Office

Certificate Effective DateJuly 15, 2026

Certificate Expiration DateJuly 14, 2028

Laboratory DirectorJohn J. Hewett

Laboratory Phone(949) 387-4724

Laboratory LocationPedes Orange County1400 Reynolds Ave Suite 110, Irvine, CA 92614

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT SHAUN PERRY DDS MPH INC

Dentist (General Practice)