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NEWPORT DOCTORS MEDICAL GROUP INC NPI 1265458210


NPI Information

NPI: 1265458210
Provider Name: NEWPORT DOCTORS MEDICAL GROUP INC

Other Name: NEWPORT DOCTORS MEDICAL IMAGING

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
401 OLD NEWPORT BLVD
STE 201
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 999-2950
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NEWPORT DOCTORS MEDICAL GROUP INC is a specialist in Newport Beach, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NEWPORT DOCTORS MEDICAL GROUP INC NPI is 1265458210. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Newport Doctors Medical Imaging.

The provider's business location address is:

401 OLD NEWPORT BLVD
STE 201
NEWPORT BEACH, CA
ZIP 92663-289
Phone: (949) 999-2950
Fax: (949) 999-2960

The provider's authorized official is David A Gehret .
The authorized official title is President and has the following contact phone number (949) 999-2977.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 4/19/2012.


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
1174400000XSpecialistG48231CALIFORNIANo
2174400000XSpecialistG39611CALIFORNIANo
3174400000XSpecialistG23417CALIFORNIANo
4174400000XSpecialistA33589CALIFORNIAYes

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
1W19467MEDICARE 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

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