Active NPI
Whitaker Wellness Institute Medical Clinic Inc
- Clinical Medical Laboratory
- Newport Beach, CA
National Provider Identifier
1073761466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- CLF 11147
- Legal business name
- WHITAKER WELLNESS INSTITUTE MEDICAL CLINIC INC
- Practice address
- 4321 Birch St
Suite 100
Newport Beach, CA 92660-1923 - Phone
- (949) 851-1550
- NPI assigned
- Aug 28, 2008
- Organization subpart
- Yes
- Parent organization
- WHITAKER WELLNESS INSTITUTE MEDICAL CLINIC INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Julian Whitaker, MD
- Title
- Laboratory Director
- Phone
- (949) 851-1550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | CLF 11147 | CA | Primary |
Addresses
Primary practice location
4321 Birch St
Suite 100
Newport Beach, CA 92660-1923
Mailing address
4321 Birch St
Suite 100
Newport Beach, CA 92660-1923
Phone (949) 851-1550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CLF 11147 | Other | CA | DEPARTMENT OF HEALTH SERVICES |
National Provider Directory
National Provider Directory- Part of
- Whitaker Wellness Inst
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Cardiovascular Disease Physician
- Newport Beach, CA
- NPI 1659443661
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
- Newport Beach, CA
- NPI 1518039197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225152000000",
"number": "1073761466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4321 BIRCH ST",
"address_2": "SUITE 100",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926601923",
"telephone_number": "949-851-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4321 BIRCH ST",
"address_2": "SUITE 100",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926601923",
"telephone_number": "949-851-1550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITAKER WELLNESS INSTITUTE MEDICAL CLINIC INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WHITAKER WELLNESS INSTITUTE MEDICAL CLINIC INC",
"enumeration_date": "2008-08-28",
"last_updated": "2008-10-28",
"status": "A",
"authorized_official_last_name": "WHITAKER",
"authorized_official_first_name": "JULIAN",
"authorized_official_title_or_position": "LABORATORY DIRECTOR",
"authorized_official_telephone_number": "949-851-1550",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "CLF 11147",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH SERVICES",
"identifier": "CLF 11147",
"state": "CA"
}
],
"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 Oct 28, 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.