Individual provider Active NPI

Kamran Aflatoon, D.O.

  • Orthopaedic Surgery of the Spine Physician
  • Newport Beach, CA
National Provider Identifier
1124035902
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
20A8503 Issued in CA
Practice address
3700 Campus Dr
Ste 104
Newport Beach, CA 92660-2603
Phone
(949) 645-7746
Fax
(949) 645-7749
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 20A8503 CA
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0117X 20A8503 CA Primary

Addresses

Primary practice location

3700 Campus Dr
Ste 104
Newport Beach, CA 92660-2603

Mailing address

3700 Campus Dr
Ste 104
Newport Beach, CA 92660-2603
Phone (949) 645-7746

Other identifiers 1

IdentifierTypeStateIssuer
610702700OtherCADEPT OF LABOR

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
I20041008001380 CA Practitioner - Orthopedic SurgeryPractitioner - Surgical Oncology 9638138134

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A8503CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mapara Medical Group, Inc Single Specialty Past Accepting new patients
S M Multispecialty Medical Corporation Single Specialty Past Accepting new patients

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1124035902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 CAMPUS DR",
            "address_2": "STE 104",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602603",
            "telephone_number": "949-645-7746",
            "fax_number": "949-645-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 CAMPUS DR",
            "address_2": "STE 104",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602603",
            "telephone_number": "949-645-7746",
            "fax_number": "949-645-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFLATOON",
        "first_name": "KAMRAN",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A8503",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "20A8503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "610702700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.