Individual provider Active NPI

Philip K Das, M.D.

  • Anesthesiology Physician
  • Newport Beach, CA
National Provider Identifier
1063480978
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G42288 Issued in CA
Practice address
1525 Superior Ave Ste 114
Newport Beach, CA 92663-3639
Phone
(949) 646-6999
Fax
(949) 646-9699
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G42288 CA Primary

Addresses

Primary practice location

1525 Superior Ave Ste 114
Newport Beach, CA 92663-3639

Mailing address

PO Box 25033
Santa Ana, CA 92799-5033
Phone (800) 883-7243

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
I20050122000195 CA Practitioner - Anesthesiology 6305896804 Reassigns benefits to 2 organizations
Practice locations: Laguna Niguel, CA; Newport Beach, CA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42288CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Sep 1, 2025 Accepting new patients
Pacific Anesthesia Medical Associates Anesthesiology CurrentSince Sep 1, 2015 Accepting new patients
San Dieguito Anesthesiology Medical Group, Inc. Anesthesiology Past Accepting new patients
Fullerton Anesthesia Associates, a Medical Group, Inc. Anesthesiology Past Accepting new patients

Locations

1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363

160 Green Valley Rd
Ste 101
Freedom, CA 95019
Phone (831) 636-4915

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

27882 Forbes Rd
Ste 203
Laguna Niguel, CA 92677
Phone (949) 347-2400

3833 Worsham Ave
Ste 200
Long Beach, CA 90808
Phone (562) 426-2606

1421 Oakdale Rd
Modesto, CA 95355
Phone (209) 572-0151

1525 Superior Ave
Ste 114
Newport Beach, CA 92663
Phone (949) 347-2400

361 Hospital Rd
Ste 124
Newport Beach, CA 92663
Phone (949) 631-0988

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

280 S Main St
Ste 100
Orange, CA 92868
Phone (714) 704-1900

681 S Parker St
Ste 150
Orange, CA 92868
Phone (562) 805-7918

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

210 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 347-1000

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

15141 Whittier Blvd
Ste 130
Whittier, CA 90603
Phone (562) 645-2832

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1063480978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25033",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927995033",
            "telephone_number": "800-883-7243",
            "fax_number": "714-347-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 SUPERIOR AVE STE 114",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633639",
            "telephone_number": "949-646-6999",
            "fax_number": "949-646-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAS",
        "first_name": "PHILIP",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G42288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.