UC IRVINE HEALTH - NEWPORT DOCTORS MEDICAL GROUP (NPI# 1063870541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063870541 |
| Entity Type | Organization |
| Organization Name | UC IRVINE HEALTH - NEWPORT DOCTORS MEDICAL GROUP |
| Practice Address |
401 Old Newport Blvd Suite 201 Newport Beach CA 92663-4291 |
| Mailing Address |
Po Box 31001-1363 Pasadena CA 91110-1363 |
| Practice Telephone | 9499992977 |
| Practice Fax Number | 9495460394 |
| Mailing Telephone | 7144566324 |
| Mailing Fax Number | 7144566273 |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |
| Authorized Official Name | DR. MANUEL PORTO (PRESIDENT & CEO) |
| Authorized Official Telephone | 7144562986 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
401 OLD NEWPORT BLVD SUITE 201 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-4291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134114663 | Mehdi Soleimanpour | Radiology | 401 Old Newport Blvd, Suite #201, Newport Beach, CA 92663-4291 | 2005-09-12 |
| 1255796157 | Uc Irvine Health- Newport Doctors Medical Group- Radiology | Clinic/Center | 401 Old Newport Blvd, Suite 201, Newport Beach, CA 92663-4291 | 2015-12-18 |
| 1467817437 | Uc Irvine Health - Newport Doctors Medical Group- Neurology | Clinic/Center | 401 Old Newport Blvd, Suite 201, Newport Beach, CA 92663-4291 | 2015-12-17 |
| 1124166400 | Dermatology & Laser Clinic, Inc. | Dermatology | 401 Old Newport Blvd, Suite 102, Newport Beach, CA 92663-4269 | 2007-02-01 |
| 1487707212 | Beth Lo | Psychiatry & Neurology | 401 Old Newport Blvd, Suite 201, Newport Beach, CA 92663-4291 | 2007-01-18 |
| 1447315593 | Janice S Young | Psychiatry & Neurology | 401 Old Newport Blvd, Suite 201, Newport Beach, CA 92663-4291 | 2006-12-27 |
| 1497774947 | David A Gehret | Specialist | 401 Old Newport Blvd, Ste 201, Newport Beach, CA 92663-4289 | 2006-07-18 |
| 1265458210 | Newport Doctors Medical Group Inc | Specialist | 401 Old Newport Blvd, Ste 201, Newport Beach, CA 92663-4289 | 2006-07-14 |
| 1922047950 | Alan Marc Freedman | Specialist | 401 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-4210 | 2006-06-05 |
| 1851338875 | Pamela Hite | Dermatology | 401 Old Newport Blvd, Suite102, Newport Beach, CA 92663-4210 | 2006-05-31 |
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|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1942795380 | Dina Bierman, Md, Inc | Clinic/Center | 351 Hospital Rd Ste 209, Newport Beach, CA 92663-3504 | 2018-06-28 |
| 1295234789 | M Hugh Bailey Md Facs PC Inc | Clinic/Center | 351 Hospital Rd Ste 617, Newport Beach, CA 92663-3508 | 2018-02-09 |
| 1952692782 | Newport Harbor Cardiology Inc | Clinic/Center | 601 Dover Dr Ste 2, Newport Beach, CA 92663-5700 | 2011-04-27 |
| 1326365339 | Npm Consulting LLC | Clinic/Center | 12 Corporate Plaza Dr, Suite 120, Newport Beach, CA 92660-7920 | 2010-04-29 |
| 1184222556 | Immune Knowledge Y Now | Clinic/Center | 1501 Superior Ave Ste 201, Newport Beach, CA 92663-3634 | 2020-10-16 |
| 1992328801 | Curated Beauty Rx | Clinic/Center | 1441 Avocado Ave Ste 301, Newport Beach, CA 92660-7704 | 2020-05-27 |
| 1023503901 | Donald S. Mowlds, M.d., A Professional Corporation | Clinic/Center | 1441 Avocado Ave Ste 203, Newport Beach, CA 92660-7703 | 2018-06-25 |
| 1770096547 | Longevity Healthcare, Inc., A Medical Corporation | Clinic/Center | 1601 Dove St Ste 170, Newport Beach, CA 92660-1421 | 2017-11-14 |
| 1700337482 | Dr. Kabir Ahmed, Inc | Clinic/Center | 320 Superior Ave, Suite 210, Newport Beach, CA 92663-2716 | 2016-10-18 |
| 1255796157 | Uc Irvine Health- Newport Doctors Medical Group- Radiology | Clinic/Center | 401 Old Newport Blvd, Suite 201, Newport Beach, CA 92663-4291 | 2015-12-18 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
Please comment or provide details below to improve the information on UC IRVINE HEALTH - NEWPORT DOCTORS MEDICAL GROUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.