NEWPORT HARBOR RADIOLOGY ASSOCIATES MEDICAL GROUP INC NPI 1053355792

NPI Information

NPI: 1053355792
Provider Name: NEWPORT HARBOR RADIOLOGY ASSOCIATES MEDICAL GROUP, INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
ONE HOAG DRIVE
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 764-5570
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NEWPORT HARBOR RADIOLOGY ASSOCIATES MEDICAL GROUP, INC is a diagnostic radiology radiology in Newport Beach, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NEWPORT HARBOR RADIOLOGY ASSOCIATES MEDICAL GROUP, INC NPI is 1053355792. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

ONE HOAG DRIVE
NEWPORT BEACH, CA
ZIP 92663-162
Phone: (949) 764-5570

The provider's authorized official is Michael C Roossin .
The authorized official title is President and has the following contact phone number (949) 764-5570.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 7/22/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	207U00000X	Nuclear Medicine		No
3	2085R0202X	Radiology	Diagnostic Radiology	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CR0261	MEDICARE PIN	CALIFORNIA
2	ZZZ78642Z	MEDICAID	CALIFORNIA
3	HW446	MEDICARE PIN	CALIFORNIA
4	1053355792	MEDICAID	CALIFORNIA
5	ZZZ78642Z	OTHER	CALIFORNIA	BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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