BIRCH MEDICAL GROUP (NPI# 1962692533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962692533 |
| Entity Type | Organization |
| Organization Name | BIRCH MEDICAL GROUP |
| Practice Address |
4463 Birch St Newport Beach CA 92660-1911 |
| Mailing Address |
3 Via Burrone Newport Beach CA 92657-1407 |
| Practice Telephone | 9499551213 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | HUU NGUYEN PHAM (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9499551213 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
G512851 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | AP2369026 | 01 |
| Street Address |
4463 BIRCH ST |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558881821 | Alotus Medical Center, PC. | Family Medicine | 4463 Birch St, Suite 105, Newport Beach, CA 92660 | 2017-06-27 |
| 1225401672 | Champion Surgery Center, LLC | Clinic/Center | 4463 Birch St, Ste 150, Newport Beach, CA 92660-1911 | 2015-11-06 |
| 1053626689 | Oc Beautiful Surgery Center | Clinic/Center | 4463 Birch St, Suite 150, Newport Beach, CA 92660-1911 | 2010-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 2082S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Surgery of the Hand |
| A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700192754 | Newport Plastic Surgery Inc | Plastic Surgery | 361 Hospital Rd Ste 527, Newport Beach, CA 92663-3526 | 2010-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215407614 | Advanced Hand & Reconstructive Plastic Surgery Inc. | Plastic Surgery | 18546 Roscoe Blvd Ste 220, Northridge, CA 91324-5455 | 2018-11-28 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1497112999 | Jose E Otero Md Inc | Plastic Surgery | 6367 Alvarado Ct Ste 104, San Diego, CA 92120-4914 | 2016-01-28 |
| 1114318268 | Sara Yegiyants Md Inc | Plastic Surgery | 225 W Pueblo St # A, Santa Barbara, CA 93105-3804 | 2015-02-11 |
| 1649613662 | Manutchehr Sohaey | Plastic Surgery | 1420 Paint Mountain Rd, Escondido, CA 92029-5926 | 2013-04-09 |
| 1972895027 | Menyoli Michael Malafa | Plastic Surgery | 1700 E Cesar E Chavez Ave Ste 2200, Los Angeles, CA 90033-2476 | 2011-05-09 |
| 1891852737 | T. Bury M.d. Inc. | Plastic Surgery | 351 Rolling Oaks Dr Ste 203, Thousand Oaks, CA 91361-1268 | 2007-01-02 |
| 1073673851 | Michael Zarrabi, Md Inc, A Medical Corporation | Plastic Surgery | 2001 Santa Monica Blvd Ste 1180w, Santa Monica, CA 90404-2132 | 2006-12-11 |
| 1669541017 | Bill Kim | Plastic Surgery | 5757 Wilshire Blvd Ste 374, Los Angeles, CA 90036-3683 | 2006-11-07 |
| 1366529349 | Hongshik Han | Plastic Surgery | 7005 N Maple Ave Ste 108, Fresno, CA 93720-8009 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
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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.