JMC Medical Corporation

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

JMC MEDICAL CORPORATION

Practice address

2001 Westcliff Dr Ste 301
Newport Beach, CA 92660-5553

Phone

(617) 784-4682

NPI assigned

Feb 24, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jorge Mauricio Castellanos, MDNPI 1295969954

Title

Owner/Provider

Phone

(617) 784-4682

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BDEHCD

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge M Castellanos, MD

  • Cardiovascular Disease Physician
  • Newport Beach, CA
  • NPI 1295969954
  Medicare reassignment Care Compare group NPD Authorized official
• Haide Landeros, FNP

  • Family Nurse Practitioner
  • Newport Beach, CA
  • NPI 1447537451
  Medicare reassignment Care Compare group NPD
• Kyla Agbayani, PA-C

  • Medical Physician Assistant
  • Colton, CA
  • NPI 1205598455
  Medicare reassignment Care Compare group
• Caren Campbell, MD

  • Dermatology Physician
  • San Francisco, CA
  • NPI 1417219114
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1003562398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WESTCLIFF DR STE 301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605553",
            "telephone_number": "617-784-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WESTCLIFF DR STE 301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605553",
            "telephone_number": "617-784-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMC MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "CASTELLANOS",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "MAURICIO",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "617-784-4682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.