| Advantmed Provider Network | |
|
17981 Sky Park Cir Bldg 39 Irvine CA 92614-6309 | |
| (877) 896-7350 | |
| Not Available |
| Full Name | Advantmed Provider Network |
|---|---|
| Speciality | General Practice |
| Location | 17981 Sky Park Cir Bldg 39, Irvine, California |
| Authorized Official Name and Position | Rishi Kirit Patel (PRESIDENT) |
| Authorized Official Contact | 8778967350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantmed Provider Network 17981 Sky Park Cir Bldg 39 Irvine CA 92614-6309 Ph: (877) 896-7350 | Advantmed Provider Network 17981 Sky Park Cir Bldg 39 Irvine CA 92614-6309 Ph: (877) 896-7350 |
| NPI Number | 1710409719 |
|---|---|
| Provider Enumeration Date | 07/11/2017 |
| Last Update Date | 10/09/2025 |
| Medicare PECOS PAC ID | 6406226521 |
|---|---|
| Medicare Enrollment ID | O20230106001513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710409719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Karen Linares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326556382 PECOS PAC ID: 1254694763 Enrollment ID: I20180416002371 |
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