Organization Active NPI

Meyer M. Soroudi M.D. Inc.

  • Diagnostic Radiology Physician
  • Newport Beach, CA
National Provider Identifier
1053561597
Registry record updated Sep 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A26301 Issued in CA
Legal business name
MEYER M. SOROUDI M.D. INC.
Practice address
106 Park Ave
Newport Beach, CA 92662-1013
Phone
(714) 323-2264
Fax
(949) 566-0070
NPI assigned
Sep 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2008

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

Authorized official

Name
Meyer M Soroudi, M.D.
Title
President
Phone
(714) 323-2264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X A26301 CA Primary

Addresses

Primary practice location

106 Park Ave
Newport Beach, CA 92662-1013

Mailing address

106 Park Ave
Newport Beach, CA 92662-1013
Phone (714) 323-2264

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221955200000",
    "number": "1053561597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PARK AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926621013",
            "telephone_number": "714-323-2264",
            "fax_number": "949-566-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PARK AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926621013",
            "telephone_number": "714-323-2264",
            "fax_number": "949-566-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEYER M. SOROUDI M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-21",
        "last_updated": "2008-09-21",
        "status": "A",
        "authorized_official_last_name": "SOROUDI",
        "authorized_official_first_name": "MEYER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-323-2264",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A26301",
            "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 Sep 21, 2008; 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.