Alexander B Deyan, MD

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

G675681 Issued in CA

Practice address

360 San Miguel
#508
Newport Beach, CA 92660

Phone

(949) 720-9848

Fax

(949) 720-9195

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pacific Women'S Healthcare Associates, Inc.

  • Obstetrics & Gynecology Physician
  • Newport Beach, CA
  • NPI 1760745517
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1083770622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL",
            "address_2": "#508",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-720-9848",
            "fax_number": "949-720-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL",
            "address_2": "#508",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-720-9848",
            "fax_number": "949-720-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYAN",
        "first_name": "ALEXANDER",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "G675681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G675681",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Desrosier
• Ed A Detels, OT
• Lynda H Detling, MFT
• Devin K. Binder, M.D., PH.D., Inc.
• Jessica Nicole Dewitt, MSN, PNP
• Parminder Dhaliwal, MD
• DHST Incorporated
• DHST, Incorporated
• David Di Sano, LMFT
• Diane Koch RPT Inc

• Obstetrics Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Obstetrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.