Active NPI
Medical Ayurveda Rejuvenation Center a Medical Corporation
- Health Service Clinic/Center
- Newport Beach, CA
National Provider Identifier
1073643540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- MEDICAL AYURVEDA REJUVENATION CENTER A MEDICAL CORPORATION
- Practice address
- 355 Placentia Ave
Suite 201
Newport Beach, CA 92663-3311 - Phone
- (949) 644-4566
- Fax
- (949) 644-2991
- NPI assigned
- Mar 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vandana Soni, MD
- Title
- Owner
- Phone
- (949) 644-4566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
355 Placentia Ave
Suite 201
Newport Beach, CA 92663-3311
Mailing address
355 Placentia Ave
Suite 201
Newport Beach, CA 92663-3311
Phone (949) 644-4566
National Provider Directory
National Provider DirectoryLocations
363 San Miguel Dr
Ste 190
Newport Beach, CA 92660
Phone (949) 644-4566
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fountain Valley, CA
- NPI 1447341409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475193600000",
"number": "1073643540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 PLACENTIA AVE",
"address_2": "SUITE 201",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633311",
"telephone_number": "949-644-4566",
"fax_number": "949-644-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 PLACENTIA AVE",
"address_2": "SUITE 201",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633311",
"telephone_number": "949-644-4566",
"fax_number": "949-644-2991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL AYURVEDA REJUVENATION CENTER A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2016-09-30",
"status": "A",
"authorized_official_last_name": "SONI",
"authorized_official_first_name": "VANDANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-644-4566",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"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 Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.