Individual provider Active NPI

John Cupp

  • Anatomic Pathology & Clinical Pathology Physician
  • Newport Beach, CA
National Provider Identifier
1013107275
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A94016 Issued in CA
Practice address
2901 W. Coast Hwy
Suite 200
Newport Beach, CA 92663-4045
Phone
(949) 891-1297
Fax
(949) 625-8010
NPI assigned
Jul 25, 2007
Last updated
Sep 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A94016 CA Primary

Addresses

Primary practice location

2901 W. Coast Hwy
Suite 200
Newport Beach, CA 92663-4045

Mailing address

2901 W. Coast Hwy
Suite 200
Newport Beach, CA 92663-4045
Phone (949) 891-1297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101108000119 CA Practitioner - Pathology 3678768439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of California, San Francisco School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 891-1297

16200 Sand Canyon Ave
Irvine, CA 92618-3714
Phone (949) 517-3111

16250 Sand Canyon Ave
Irvine, CA 92618-3714
Phone (949) 517-3111

2901 W Coast Hwy
Suite 200
Newport Beach, CA 92663-4045
Phone (949) 891-1297

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.5 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94016CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Harbor Pathology Medical Group Inc CurrentSince Oct 1, 2010 Accepting new patients
Newport Harbor Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2010 Accepting new patients

Locations

1 Technology Dr
Ste C523
Irvine, CA 92618
Phone (714) 537-2395

15375 Barranca Pkwy
Ste F101
Irvine, CA 92618
Phone (949) 264-8904

16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000

16250 Sand Canyon Ave
Irvine, CA 92618
Phone (855) 999-4641

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

2901 W Coast Hwy
Ste 200
Newport Beach, CA 92663
Phone (949) 891-1297

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1013107275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 W. COAST HWY",
            "address_2": "SUITE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634045",
            "telephone_number": "949-891-1297",
            "fax_number": "949-625-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W. COAST HWY",
            "address_2": "SUITE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634045",
            "telephone_number": "949-891-1297",
            "fax_number": "949-625-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPP",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A94016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.