Provider Type Icon

NEWPORT BEACH INTERNAL MEDICINE INC. NPI 1306042080


NPI Information

NPI: 1306042080
Provider Name: NEWPORT BEACH INTERNAL MEDICINE INC.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D0954008

Address:
307 PLACENTIA AVE
100
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 642-0900
Get Directions

NEWPORT BEACH INTERNAL MEDICINE INC. is an internal medicine in Newport Beach, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NEWPORT BEACH INTERNAL MEDICINE INC. NPI is 1306042080. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

307 PLACENTIA AVE
100
NEWPORT BEACH, CA
ZIP 92663-310
Phone: (949) 642-0900
Fax: (949) 642-0022

The provider's authorized official is Wernher Ovalle .
The authorized official title is President and has the following contact phone number (949) 722-3313.

The CLIA number assigned to this NPI record is 05D0954008 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/21/2007 and was last updated on 10/5/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineA68507CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H16760MEDICARE UPINCALIFORNIA
2A68507MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.