C. Damirchi, MD, Inc. Newport Beach Office

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A50298 Issued in CA

Legal business name

C. DAMIRCHI, MD, INC. NEWPORT BEACH OFFICE

Practice address

901 Dover Dr Ste 231
Newport Beach, CA 92660-5515

Phone

(949) 631-5252

Fax

(949) 631-1738

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Cyrus Damirchi, M.D.NPI 1891883401

Title

President

Phone

(949) 631-5252

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cyrus Damirchi, M.D.

  • Family Medicine Physician
  • San Bernardino, CA
  • NPI 1891883401
  Medicare reassignment Authorized official
• Ponteah Damirchi, MD

  • Family Medicine Physician
  • Vista, CA
  • NPI 1134861339
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1073601084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 DOVER DR STE 231",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605515",
            "telephone_number": "949-631-5252",
            "fax_number": "949-631-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DOVER DR STE 231",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605515",
            "telephone_number": "949-631-5252",
            "fax_number": "949-631-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. DAMIRCHI, MD, INC. NEWPORT BEACH OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "DAMIRCHI",
        "authorized_official_first_name": "CYRUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-631-5252",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A50298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.