JOHN GILBERT MCNUTT M.D. NPI 1881603967

NPI Information

NPI: 1881603967
Provider Name: JOHN GILBERT MCNUTT, M.D.
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
361 HOSPITAL RD
SUITE 124
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 583-9944
Get Directions

John Gilbert Mcnutt, M.D. is a student in an organized health care education training program in Newport Beach, CA with 29 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. John Gilbert Mcnutt, M.D. NPI is 1881603967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

361 HOSPITAL RD
SUITE 124
NEWPORT BEACH, CA
ZIP 92663-522
Phone: (949) 583-9944
Fax: (949) 583-9955

The NPI 1881603967 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/6/2006 and was last updated on 7/5/2022.

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
1	390200000X	Student in an Organized Health Care Education/Training Program		A61636	CALIFORNIA	Yes
2	207L00000X	Anesthesiology		A61636	CALIFORNIA	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00A616360	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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