CAREATHOME MEDICAL PRACTICE CA PC NPI 1306516174

NPI Information

  • NPI: 1306516174
  • Provider Name: CAREATHOME MEDICAL PRACTICE CA PC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 4695 MACARTHUR CT FL 11
    NEWPORT BEACH, CA
    ZIP 92660
  • Phone: (888) 553-2823

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NPI Details

CAREATHOME MEDICAL PRACTICE CA PC is a family nurse practitioner in Newport Beach, CA. CAREATHOME MEDICAL PRACTICE CA PC NPI is 1306516174. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4695 MACARTHUR CT FL 11
NEWPORT BEACH, CA
ZIP 92660-882
Phone: (888) 553-2823

The provider's authorized official is Joseph Jasser .
The authorized official title is Chief Medical Officer and has the following contact phone number (602) 663-8228.

The enumeration date for this NPI number is 9/14/2021 and was last updated on 10/3/2024.

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 License Number License State Primary
1207R00000XInternal MedicineNo
2363L00000XNurse PractitionerNo
3363LA2100XNurse PractitionerAcute CareNo
4363LA2200XNurse PractitionerAdult HealthNo
5363LF0000XNurse PractitionerFamilyYes
6363LG0600XNurse PractitionerGerontologyNo
7363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

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: 11/21/2025

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