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NORTHWEST NEWBORN SPECIALISTS PC NPI 1235135302


NPI Information

NPI: 1235135302
Provider Name: NORTHWEST NEWBORN SPECIALISTS PC
Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

Address:
770 THE CITY DR S
SUITE 4000
ORANGE, CA
ZIP 92868
Phone: (800) 463-6628
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NORTHWEST NEWBORN SPECIALISTS PC is a neonatal-perinatal medicine pediatrics in Orange, CA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. NORTHWEST NEWBORN SPECIALISTS PC NPI is 1235135302. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

770 THE CITY DR S
SUITE 4000
ORANGE, CA
ZIP 92868-900
Phone: (800) 463-6628
Fax: (714) 740-0326

The provider's authorized official is Jay Martin .
The authorized official title is Assistant Secretary and has the following contact phone number (954) 384-0175.

The enumeration date for this NPI number is 6/23/2005 and was last updated on 7/9/2021.


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
12080N0001XPediatricsNeonatal-Perinatal MedicineYes
22080P0203XPediatricsPediatric Critical Care MedicineNo

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
17005937MEDICAIDWASHINGTON
2048003000OTHEROREGONBCBS
3148502MEDICAIDOREGON

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: 11/14/2023

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