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DIABETES ASSOCIATES MEDICAL GROUP
NPI 1407164460
Internal Medicine in Orange, CA

Active since September 23, 2010CLIA 05D0726130 · Waiver
1310 W STEWART DR STE 610, ORANGE, CA 92868(714) 639-1815(714) 638-2374 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diabetes Associates Medical Group NPPES

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

DIABETES ASSOCIATES MEDICAL GROUP (NPI 1407164460) is a healthcare organization registered as an internal medicine in Orange, California and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through July 6, 2028 and lists Ivy-joan Madu, President, as its authorized official.

NPPES Registry Identity

NPI1407164460
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDIABETES ASSOCIATES MEDICAL GROUP
Location Address1310 W STEWART DR STE 610Orange, CA 92868-3857
Mailing Address1310 W Stewart Dr Ste 610Orange, CA 92868-3857 · (714) 639-1815 · Fax (714) 638-2374
Phone(714) 639-1815
Fax(714) 638-2374
Organization SubpartNo
Authorized OfficialIvy-joan MaduPresident · (714) 639-1815
Enumeration DateSeptember 23, 2010
Last NPPES UpdateApril 19, 2022
NPPES CertifiedApril 19, 2022
✔ NPI 1407164460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A50150
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1310 W STEWART DR STE 610, Orange, CA 92868
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Other Identifiers 1

Medicaid0A501501CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 05D0726130

Diabetes Associates Medical Group · Orange, CA
Active · expires Jul 6, 2028
CLIA Number05D0726130
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorIvy Joan Madu MD
Laboratory Phone(714) 639-1815
Laboratory LocationDiabetes Associates Medical Group1310 W Stewart Dr Ste 610, Orange, CA 92868
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 2

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

MRS. AIPING DAI NP
Nurse Practitioner
1310 W STEWART DR STE 610
ORANGE, CA 92868
Orange County (714) 997-4300
DR. IVY-JOAN ERINMA MADU M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1310 W STEWART DR STE 610
ORANGE, CA 92868
Orange County (714) 639-1815

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 Diabetes Associates Medical Group's NPI number?

The NPI number for Diabetes Associates Medical Group is 1407164460. It was assigned to this organization in the NPPES registry on September 23, 2010.

Where is Diabetes Associates Medical Group located?

Diabetes Associates Medical Group is located at 1310 W Stewart Dr Ste 610, Orange, CA 92868. The listed phone number is (714) 639-1815.

What is Diabetes Associates Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Diabetes Associates Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0726130) is associated with this NPI, valid through July 6, 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 Diabetes Associates Medical Group was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.