Individual provider Active NPI

Douglas Eldon McConnaughey, MD

  • Internal Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1104862721
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A68421 Issued in CA
Practice address
180 Newport Center Dr Ste 265
Newport Beach, CA 92660-0900
Phone
(949) 706-0181
Fax
(855) 698-2838
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A68421 CA Primary

Addresses

Primary practice location

180 Newport Center Dr Ste 265
Newport Beach, CA 92660-0900

Mailing address

180 Newport Center Dr Ste 265
Newport Beach, CA 92660-0900
Phone (949) 706-0181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Davis School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9900 Talbert Ave
Fountain Valley, CA 92708-5153

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A68421CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edinger Medical Group, Inc. Internal Medicine CurrentSince Sep 1, 1999 Accepting new patients
Edinger Medical Group, Inc. Internal Medicine CurrentSince Sep 1, 1999 Accepting new patients

Locations

9900 Talbert Ave
Ste 302
Fountain Valley, CA 92708
Phone (714) 965-2500

9900 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 965-2500

18682 Beach Blvd
#145155
Huntington Beach, CA 92648
Phone (714) 965-2500

20981 Magnolia St
Huntington Beach, CA 92646
Phone (714) 965-2500

18682 Beach Blvd
Ste 145155
Huntington Beach, CA 92648
Phone (714) 965-2500

Organizations & group practices 2

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1104862721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 NEWPORT CENTER DR STE 265",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600900",
            "telephone_number": "949-706-0181",
            "fax_number": "855-698-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NEWPORT CENTER DR STE 265",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600900",
            "telephone_number": "949-706-0181",
            "fax_number": "855-698-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNAUGHEY",
        "first_name": "DOUGLAS",
        "middle_name": "ELDON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A68421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.