Active NPI
Jeffrey M. Dembner, MD, Inc.
- Neurological Surgery Physician
- Orange, CA
National Provider Identifier
1003005117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- A74580
- Legal business name
- JEFFREY M. DEMBNER, MD, INC.
- Practice address
- 2617 E Chapman Ave
Suite 201
Orange, CA 92869-3226 - Phone
- (714) 639-3780
- NPI assigned
- Oct 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Marc Dembner, MD
- Title
- President
- Phone
- (949) 697-8897
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | A74580 | CA | Primary |
Addresses
Primary practice location
2617 E Chapman Ave
Suite 201
Orange, CA 92869-3226
Mailing address
PO Box 906
Corona del Mar, CA 92625-5906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W16861 | Other | CA | MEDICARE PTAN |
Other names 1
- Newport Neurosurgery, Inc.
National Provider Directory
National Provider DirectoryLocations
1860 Pennsylvania Ave
#32
Fairfield, CA 94533
Phone (707) 646-4370
280 Newport Center Dr
Ste 145
Newport Beach, CA 92660
Phone (949) 706-7152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479686400000",
"number": "1003005117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 906",
"city": "CORONA DEL MAR",
"state": "CA",
"postal_code": "926255906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2617 E CHAPMAN AVE",
"address_2": "SUITE 201",
"city": "ORANGE",
"state": "CA",
"postal_code": "928693226",
"telephone_number": "714-639-3780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY M. DEMBNER, MD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-15",
"last_updated": "2016-11-21",
"status": "A",
"authorized_official_last_name": "DEMBNER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "MARC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-697-8897",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "CA",
"license": "A74580",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "W16861",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Newport Neurosurgery, Inc.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.