Organization Active NPI

Peter Helton Professional Corporation

  • Dermatology Physician
  • Newport Beach, CA
National Provider Identifier
1023153277
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20A6853 Issued in CA
Legal business name
PETER HELTON PROFESSIONAL CORPORATION
Practice address
1901 Westcliff Dr
2
Newport Beach, CA 92660-5598
Phone
(949) 646-3376
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
Peter J Helton, DONPI 1295775872
Title
President
Phone
(949) 646-3376

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 20A6853 CA Primary

Addresses

Primary practice location

1901 Westcliff Dr
2
Newport Beach, CA 92660-5598

Mailing address

1901 Westcliff Dr
Suite 2
Newport Beach, CA 92660-5598
Phone (949) 646-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070710000422 CA Part B Supplier - Clinic/Group Practice 0941300784 Receives reassigned benefits from 5 practitioners
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

1901 Westcliff Dr
Ste 2
Newport Beach, CA 92660
Phone (949) 646-3376

Practitioners & affiliated clinicians

Practitioners 5

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1023153277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 WESTCLIFF DR",
            "address_2": "SUITE 2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605598",
            "telephone_number": "949-646-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 WESTCLIFF DR",
            "address_2": "2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605598",
            "telephone_number": "949-646-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER HELTON PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "HELTON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-646-3376",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A6853",
            "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 Nov 16, 2017; 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.