Organization Active NPI

Medical Ayurveda Rejuvenation Center a Medical Corporation

  • Health Service Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1073643540
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Sep 30, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.