NEWPORT DOCTORS MEDICAL GROUP INC (NPI# 1265458210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265458210 |
| Entity Type | Organization |
| Organization Name | NEWPORT DOCTORS MEDICAL GROUP INC |
| Other Organization Name | NEWPORT DOCTORS MEDICAL IMAGING |
| Practice Address |
401 Old Newport Blvd Ste 201 Newport Beach CA 92663-4289 |
| Practice Telephone | 9499992950 |
| Practice Fax Number | 9499992960 |
| Mailing Telephone | 9499992950 |
| Mailing Fax Number | 9499992960 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2012-04-19 |
| Authorized Official Name | DAVID A GEHRET (PRESIDENT) |
| Authorized Official Telephone | 9499992977 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | G48231 | CA | Other Service Providers |
| N | 174400000X | Specialist | G39611 | CA | Other Service Providers |
| N | 174400000X | Specialist | G23417 | CA | Other Service Providers |
| Y | 174400000X | Specialist | A33589 | CA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Newport Doctors Medical Imaging | Other Name - Individual/Organization |
| Street Address |
401 OLD NEWPORT BLVD STE 201 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-4289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134114663 | Mehdi Soleimanpour | Radiology | 401 Old Newport Blvd, Suite #201, Newport Beach, CA 92663-4291 | 2005-09-12 |
| 1063870541 | Uc Irvine Health - Newport Doctors Medical Group | Clinic/Center | 401 Old Newport Blvd, Suite 201, Newport Beach, CA 92663-4291 | 2016-01-29 |
| 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 |
| 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 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346641735 | Pacific Obstetrics & Gynecology | Specialist | 496 Old Newport Blvd Ste 4, Newport Beach, CA 92663-4264 | 2014-09-04 |
| 1801239934 | Thomas James Dickinson | Specialist | 2 Oak Tree Dr, Newport Beach, CA 92660-4290 | 2013-04-08 |
| 1265703854 | Nicholas E. Rose, Md, Inc. | Specialist | 360 San Miguel Dr Ste 701, Newport Beach, CA 92660-5927 | 2012-01-13 |
| 1275803959 | Darcy Sue Flint | Specialist | 2111 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2012-01-11 |
| 1699045831 | Vahe Meghrouni | Specialist | 61 Cape Andover, Newport Beach, CA 92660-8401 | 2012-01-05 |
| 1811295835 | Darcy Debernarde | Specialist | 2902 W Coast Hwy, Newport Beach, CA 92663-4015 | 2011-03-01 |
| 1407167075 | William Roy Morgan | Specialist | 1419 Superior Avenue, Suite 2, Newport Beach, CA 92663 | 2010-06-29 |
| 1093959249 | Sheree Ann Bill | Specialist | 901 Dove St Ste 150, Newport Beach, CA 92660-3018 | 2009-04-30 |
| 1649410499 | Robert John Krogh | Specialist | 177 Riverside Avenue, Newport Beach, CA 92663-4032 | 2009-03-05 |
| 1538305842 | William Coleman Cohen | Specialist | 16 Belcourt Dr, Newport Beach, CA 92660-4215 | 2008-12-17 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
Please comment or provide details below to improve the information on NEWPORT DOCTORS MEDICAL GROUP INC.
| 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.