Individual provider Active NPI

Kristine Brown, M.D.

  • Pediatrics Physician
  • Newport Beach, CA
National Provider Identifier
1104820547
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A88388 Issued in CA
Practice address
510 Superior Ave Ste 200D
Newport Beach, CA 92663
Phone
(949) 791-3001
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A88388 CA Primary

Addresses

Primary practice location

510 Superior Ave Ste 200D
Newport Beach, CA 92663

Mailing address

510 Superior Ave Ste 200D
Newport Beach, CA 92663-3664
Phone (949) 791-3001

Other practice location 1

1401 Avocado Ave
Suite 802
Newport Beach, CA 92660-7720
Phone (949) 644-0970

Other practice location 2

1401 Avocado Ave
Suite 802
Newport Beach, CA 92660-7720
Phone (949) 644-0970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181127003474 CA Practitioner - Pediatric Medicine 9537403878 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A88388CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoag Clinic CurrentSince Mar 1, 2019 Accepting new patients
Newport Children'S Medical Group Past Accepting new patients
South Counties Pediatric Critical Care Medical Group Past Accepting new patients
Hoag Hospital Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

510 Superior Ave
Ste 200D
Newport Beach, CA 92663
Phone (949) 791-3003

510 Superior Ave
Ste 200B
Newport Beach, CA 92663
Phone (800) 400-4624

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

500 Superior Ave
Ste 270
Newport Beach, CA 92663
Phone (949) 791-3370

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1104820547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SUPERIOR AVE STE 200D",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633664",
            "telephone_number": "949-791-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SUPERIOR AVE STE 200D",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "949-791-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Avocado Ave",
            "address_2": "Suite 802",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926607720",
            "country_code": "US",
            "telephone_number": "949-644-0970",
            "fax_number": "949-644-0774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Avocado Ave",
            "address_2": "Suite 802",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926607720",
            "country_code": "US",
            "telephone_number": "949-644-0970",
            "fax_number": "949-644-0774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KRISTINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A88388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.