Organization Active NPI

Tanya M. Phares, DO, MPH

  • Internal Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1013516707
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TANYA M. PHARES, DO, MPH
Practice address
369 San Miguel Dr Ste 200
Newport Beach, CA 92660-7850
Phone
(949) 423-3530
NPI assigned
Oct 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Tanya Phares, DO, MPHNPI 1396078002
Title
Ceo/Physician
Phone
(949) 423-3530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

369 San Miguel Dr Ste 200
Newport Beach, CA 92660-7850

Mailing address

406 Orchid Ave, #1073
Corona del Mar, CA 92625
Phone (949) 423-3530

National Provider Directory

National Provider Directory

Locations

406 Orchid Ave
Unit 1073
Corona del Mar, CA 92625

369 San Miguel Dr
Ste 200
Newport Beach, CA 92660
Phone (949) 439-9288

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1013516707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 ORCHID AVE, #1073",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "92625",
            "telephone_number": "949-423-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 SAN MIGUEL DR STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607850",
            "telephone_number": "949-423-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANYA M. PHARES, DO, MPH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "PHARES",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "949-423-3530",
        "authorized_official_credential": "DO, MPH"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Oct 22, 2020; 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.