Eden Fertility Center of Newport Beach

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

EDEN FERTILITY CENTER OF NEWPORT BEACH

Practice address

20360 SW Birch St Ste 200
Newport Beach, CA 92660-1534

Phone

(949) 688-1002

NPI assigned

Jul 15, 2019

Organization subpart

No

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

Authorized official

Name

Michael Ruszczynski

Title

Coo

Phone

(310) 927-4044

Specialties & licenses 1

Addresses

Other names 1

• Eden Centers for Advanced Fertility Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Banafsheh Noosha Kashani, M.D.

  • Reproductive Endocrinology Physician
  • Aliso Viejo, CA
  • NPI 1134494305
  NPD (past)

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1124670674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20360 SW BIRCH ST STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601534",
            "telephone_number": "949-688-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20360 SW BIRCH ST STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601534",
            "telephone_number": "949-688-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2720 N Harbor Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928352626",
            "country_code": "US",
            "telephone_number": "714-278-4705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDEN FERTILITY CENTER OF NEWPORT BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "RUSZCZYNSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "310-927-4044"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Centers for Advanced Fertility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eden Centers for Advanced Fertility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eating Disorder Center of California
• Mary Carlyn Eberhart, D.C.
• Cindy Echeverria
• Emily Echeverria, MS, LMFT
• Edelweiss Individual and Family Therapy
• Eden Licensed Clinical Social Worker Corporation
• Edinger Medical Group, Inc.
• Desiree Deanne Edlund, D.C.
• Edward G. Rohaly,M.D. Inc.
• Edward J. Domanskis,MD Inc.

• Specialist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.