UC IRVINE HEALTH MEDICAL GROUP
NPI 1649660242
Clinic/Center - Health Service in Orange, CA

Active since February 03, 2015CLIA 05D2086134 · Waiver
293 S MAIN ST, SUITE 200, ORANGE, CA 92868(714) 838-8848(714) 771-0733 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Uc Irvine Health Medical Group NPPES

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

UC IRVINE HEALTH MEDICAL GROUP (NPI 1649660242) is a healthcare organization registered as a health service in Orange, California and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through October 27, 2026 and lists Roger L. Crumley, Interim President, as its authorized official.

NPPES Registry Identity

NPI1649660242
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameUC IRVINE HEALTH MEDICAL GROUP
Location Address293 S MAIN ST, SUITE 200Orange, CA 92868-3843
Mailing AddressPo Box 54509Los Angeles, CA 90054-0509 · (714) 456-6585 · Fax (714) 456-8101
Fax(714) 771-0733
Organization SubpartYesParent: Regents Of The University Of California
Authorized OfficialRoger L. CrumleyInterim President · (714) 456-2986
Enumeration DateFebruary 3, 2015
NPI 1649660242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
293 S MAIN ST, Orange, CA 92868

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 05D2086134

Uc Irvine Health Medical · Orange, CA
Active · expires Oct 27, 2026
CLIA Number05D2086134
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorRoxann S. Engle, Do
Laboratory Phone(714) 838-8848
Laboratory LocationUc Irvine Health Medical293 S Main Street, Suite 200, 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 3

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

Family Medicine
293 S MAIN ST, SUITE 200
ORANGE, CA 92868
Family Medicine
293 S MAIN ST, SUITE 200
ORANGE, CA 92868
Internal Medicine (Geriatric Medicine)
293 S MAIN ST
ORANGE, CA 92868

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 Uc Irvine Health Medical Group's NPI number?

The NPI number for Uc Irvine Health Medical Group is 1649660242. It was assigned to this organization in the NPPES registry on February 3, 2015.

Where is Uc Irvine Health Medical Group located?

Uc Irvine Health Medical Group is located at 293 S Main St Suite 200, Orange, CA 92868. The listed phone number is (714) 838-8848.

What is Uc Irvine Health Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Uc Irvine Health Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2086134) is associated with this NPI, valid through October 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Uc Irvine Health Medical Group was last updated on February 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.