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PEDES ORANGE COUNTY, INC
NPI 1184999005
Radiology - Vascular & Interventional Radiology in Irvine, CA

Active since March 09, 2012CLIA 05D2307749 · Waiver
1400 REYNOLDS AVE STE 110, IRVINE, CA 92614(949) 387-4724(949) 209-0407 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 3, 2026, Feb 21, 2025, Oct 14, 2020 (3 updates tracked since 2020).

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pedes Orange County, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Pedes Orange County, Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Neil Goldstein, MD
Interventional Radiology
NPI 1235165226
1400 REYNOLDS AVE STE 110
Irvine, CA 92614
(949) 398-7472
✔ PECOS✔ Accepts MedicareSame address
John Hewett, MD
Interventional Radiology
NPI 1972543296
1400 REYNOLDS AVE STE 110
Irvine, CA 92614
(949) 387-4724
✔ PECOS✔ Accepts MedicareSame address
Derrick Tran, MD
Interventional Radiology
NPI 1538696778
1400 REYNOLDS AVE STE 110
Irvine, CA 92614
(949) 387-4724
✔ PECOS✔ Accepts MedicareSame address
Mohammad Jaber, MD
Vascular Surgery
NPI 1407980410
8043 2ND ST STE 105
Downey, CA 90241
(562) 862-1134
✔ PECOS✔ Accepts Medicare24 mi

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

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.

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 Pedes Orange County, Inc's NPI number?

The NPI number for Pedes Orange County, Inc is 1184999005. It was assigned to this organization in the NPPES registry on March 9, 2012.

Where is Pedes Orange County, Inc located?

Pedes Orange County, Inc is located at 1400 Reynolds Ave Ste 110, Irvine, CA 92614. The listed phone number is (949) 387-4724.

What is Pedes Orange County, Inc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Pedes Orange County, Inc enrolled in Medicare?

Yes. Pedes Orange County, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pedes Orange County, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Pedes 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 Interventional Radiology (3) and Vascular Surgery (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pedes Orange County, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2307749) is associated with this NPI, valid through July 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pedes Orange County, Inc was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.