Individual provider Active NPI

William John Owsley, M.D.

  • Otolaryngology Physician
  • Newport Beach, CA
National Provider Identifier
1003965039
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
C33164 Issued in CA
Practice address
2011 Westcliff Dr
Suite 5
Newport Beach, CA 92660-5599
Phone
(949) 645-2520
Fax
(949) 645-3502
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X C33164 CA Primary

Addresses

Primary practice location

2011 Westcliff Dr
Suite 5
Newport Beach, CA 92660-5599

Mailing address

2011 Westcliff Dr
Suite 5
Newport Beach, CA 92660-5599
Phone (949) 645-2520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003965039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 WESTCLIFF DR",
            "address_2": "SUITE 5",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605599",
            "telephone_number": "949-645-2520",
            "fax_number": "949-645-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 WESTCLIFF DR",
            "address_2": "SUITE 5",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605599",
            "telephone_number": "949-645-2520",
            "fax_number": "949-645-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWSLEY",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "C33164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.