PERFORMANCE BOOST CENTER, LLC (NPI# 1295376689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295376689 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE BOOST CENTER, LLC |
| Practice Address |
1501 Superior Ave Ste 304 Newport Beach CA 92663-3641 |
| Practice Telephone | 9496127811 |
| Practice Fax Number | 8486127822 |
| Mailing Telephone | 9496127811 |
| Mailing Fax Number | 8486127822 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |
| Authorized Official Name | DEAN GLASSMAN (OWNER) |
| Authorized Official Telephone | 6263880700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
1501 SUPERIOR AVE STE 304 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-3641 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629541701 | Hannah Acupuncture Clinic Inc | Clinic/Center | 408 Westminster Ave Ste 7, Newport Beach, CA 92663-4238 | 2019-01-10 |
| 1992948731 | Sungil Manual Medicine and Acupuncture Inc | Clinic/Center | 20391 Bayview Ave, Newport Beach, CA 92660-0709 | 2009-04-09 |
| 1386802627 | Judy Tamar Gillard | Clinic/Center | 2515 Eastbluff Dr, Newport Beach, CA 92660-3504 | 2008-05-22 |
| 1912101015 | Julie Ralls, M.d., Inc. | Clinic/Center | 2011 Westcliff Dr Ste 4, Newport Beach, CA 92660-5508 | 2007-06-13 |
| 1922015072 | Harbor Pediatric Medical Group | Clinic/Center | 601 Dover Dr Ste 7, Newport Beach, CA 92663-5721 | 2006-08-02 |
| 1548819071 | Care Connectors Affiliated Physicians Inc | Clinic/Center | 520 Superior Ave, Suite 250, Newport Beach, CA 92663 | 2019-09-07 |
| 1518526607 | The Child and Family Connection | Clinic/Center | 1401 Avocado Ave Ste 709, Newport Beach, CA 92660-8714 | 2019-06-12 |
| 1760922413 | Bettina Limjoco Mdpc | Clinic/Center | 20072 Sw Birch St, Suite 170, Newport Beach, CA 92660-0794 | 2017-02-28 |
| 1366831174 | Pacific Center for Plastic Surgery | Clinic/Center | 3991 Macarthur Blvd, Suite 320, Newport Beach, CA 92660-3009 | 2015-01-16 |
| 1538561238 | Precise Care | Clinic/Center | 4425 Jamboree Rd, Suite 120, Newport Beach, CA 92660-3024 | 2014-09-24 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
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| 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.