Organization · Type 2 NPI

University of California Irvine

Home Infusion Therapy Pharmacy · Costa Mesa, CA

NPI number 1396559498 Active

Practice location

1640 Newport Blvd Ste 400
Costa Mesa, CA 92627-3786

Call (949) 386-5011 Map

Fax (949) 386-5053

Mailing address

1500 S Douglass Rd, Suite #200, Rt 183
Anaheim, CA 92806-6912

Specialties and licenses

Taxonomy	Code	License
Home Infusion Therapy Pharmacy Primary	3336H0001X	None listed

Home Infusion Therapy Pharmacy: Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusio…

3 other providers at this address

NPI record

NPI: 1396559498
Entity type: Organization (Type 2)
Issued: Feb 7, 2025
Last updated: Feb 7, 2025
Status: Active
Subpart: Yes of University of California Irvine

Other names

<unavail>
Uci Health-Costa Mesa Home Infusion Pharmacy · doing business as
Uci Health-Costa Mesa Home Infusion Pharmacy · doing business as

Authorized official

Randolph Siwabessy
Chief Financial Officer and Sr. VP
(714) 456-5180

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1396559498

University of California Irvine's National Provider Identifier is 1396559498, issued on Feb 7, 2025. The primary taxonomy on file is Home Infusion Therapy Pharmacy (3336H0001X), and the practice location is in Costa Mesa, CA. The record was last updated on Feb 7, 2025.