Healthcare Provider Details

I. General information

NPI: 1679275002
Provider Name (Legal Business Name): ORI BARASHY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16200 SAND CANYON AVE
IRVINE CA
92618-3714
US

IV. Provider business mailing address

3419 VIA LIDO # 435
NEWPORT BEACH CA
92663-3908
US

V. Phone/Fax

Practice location:
  • Phone: 877-742-4624
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number196834
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA196834
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: