MEMORY AND MOVEMENT CLINIC NPI 1447139175

NPI Information

  • NPI: 1447139175
  • Provider Name: MEMORY AND MOVEMENT CLINIC
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 200 NEWPORT CENTER DR STE 303
    NEWPORT BEACH, CA
    ZIP 92660
  • Phone: (650) 750-6576

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NPI Details

MEMORY AND MOVEMENT CLINIC is a geriatric medicine family medicine in Newport Beach, CA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. MEMORY AND MOVEMENT CLINIC NPI is 1447139175. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 NEWPORT CENTER DR STE 303
NEWPORT BEACH, CA
ZIP 92660-504
Phone: (650) 750-6576

The provider's authorized official is Sarang Tatimatla .
The authorized official title is President and has the following contact phone number (650) 750-6576.

The enumeration date for this NPI number is 8/27/2025 and was last updated on 9/9/2025.

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
1103G00000XClinical NeuropsychologistNo
2207N00000XDermatologyNo
3207QA0505XFamily MedicineAdult MedicineNo
4207RH0002XInternal MedicineHospice and Palliative MedicineNo
5207QH0002XFamily MedicineHospice and Palliative MedicineNo
6207R00000XInternal MedicineNo
7207RG0300XInternal MedicineGeriatric MedicineNo
82084P0805XPsychiatry & NeurologyGeriatric PsychiatryNo
92086S0105XSurgerySurgery of the HandNo
102251G0304XPhysical TherapistGeriatricsNo
11363LP2300XNurse PractitionerPrimary CareNo
12363LF0000XNurse PractitionerFamilyNo
13363LG0600XNurse PractitionerGerontologyNo
14363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
15207QG0300XFamily MedicineGeriatric MedicineYes

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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