Organization Active NPI

Lavinia K. Chong, M.D., Inc.

  • Ambulatory Surgical Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1134482177
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
G68371 Issued in CA
Legal business name
LAVINIA K. CHONG, M.D., INC.
Practice address
1401 Avocado Ave
Suite 803
Newport Beach, CA 92660-7720
Phone
(949) 644-1400
Fax
(949) 644-5988
NPI assigned
Jun 22, 2012
Last updated
Jun 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Authorized official

Name
Dr. Lavinia Karen Chong, M.D.NPI 1588779227
Title
Chief Medical Officer
Phone
(949) 644-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X G68371 CA Primary

Addresses

Primary practice location

1401 Avocado Ave
Suite 803
Newport Beach, CA 92660-7720

Mailing address

1401 Avocado Ave
Suite 803
Newport Beach, CA 92660-7720
Phone (949) 644-1400

National Provider Directory

National Provider Directory

Locations

1401 Avocado Ave
Ste 803
Newport Beach, CA 92660
Phone (949) 644-1400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1134482177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE",
            "address_2": "SUITE 803",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607720",
            "telephone_number": "949-644-1400",
            "fax_number": "949-644-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE",
            "address_2": "SUITE 803",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607720",
            "telephone_number": "949-644-1400",
            "fax_number": "949-644-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVINIA K. CHONG, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "LAVINIA",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "949-644-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "G68371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.