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INTEGRATIVE MEDICAL CENTER
NPI 1215030747
Family Medicine in Santa Ana, CA

Active since September 07, 2006CLIA 05D0581357 · Waiver
526 W 17TH ST, SANTA ANA, CA 92706(714) 558-9355(714) 558-0870 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Integrative Medical Center NPPES

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

INTEGRATIVE MEDICAL CENTER (NPI 1215030747) is a healthcare organization registered as a family medicine in Santa Ana, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through December 27, 2027 and lists Walter Jayasinghe, Owner, as its authorized official.

NPPES Registry Identity

NPI1215030747
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINTEGRATIVE MEDICAL CENTER
Location Address526 W 17TH STSanta Ana, CA 92706-3619
Mailing Address1930 Wilshire Blvd, Ste 1100Los Angeles, CA 90057-3605 · (213) 483-2620 · Fax (213) 483-7918
Phone(714) 558-9355
Fax(714) 558-0870
Organization SubpartNo
Authorized OfficialWalter JayasingheOwner · (213) 483-2620
Enumeration DateSeptember 7, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1215030747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · A49332✔ Licensed in CA · A31911
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License A26210 (CA)
Also ListedPediatricsTaxonomy 208000000X · License A38978 (CA)
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA14480 (CA), PA14957 (CA)
526 W 17TH ST, Santa Ana, CA 92706
Open in Google Maps ↗

Other Identifiers 1

MedicaidGR0015600CA

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 05D0581357

Integrative Medical Center · Santa Ana, CA
Active · expires Dec 27, 2027
CLIA Number05D0581357
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorCo D. Pham
Laboratory Phone(714) 558-9395
Laboratory LocationIntegrative Medical Center526 W 17th, Santa Ana, CA 92706
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. JULIA GHADA NASSER MD
Family Medicine
526 W 17TH ST
SANTA ANA, CA 92706
Orange County (714) 926-8825
INTEGRATIVE MEDICAL CENTER
Pediatrics
526 W 17TH ST
SANTA ANA, CA 92706
Orange County (714) 558-9355

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 Integrative Medical Center's NPI number?

The NPI number for Integrative Medical Center is 1215030747. It was assigned to this organization in the NPPES registry on September 7, 2006.

Where is Integrative Medical Center located?

Integrative Medical Center is located at 526 W 17th St, Santa Ana, CA 92706. The listed phone number is (714) 558-9355.

What is Integrative Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Integrative Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0581357) is associated with this NPI, valid through December 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Integrative Medical Center was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.