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

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

Organization subpart

No

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.

Title

Chief Medical Officer

Phone

(949) 644-1400

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Colleen O'Connor, CRNA

  • Certified Registered Nurse Anesthetist
  • Lake Forest, CA
  • NPI 1104937580
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (INDIVIDUAL) NPI",
            "identifier": "1588779227",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "G68371",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Capina
• Laura Sharbash, DDS, Inc
• John Paul Laura, D.O
• Laurence L. Jacobs, M.D., a.P.C.
• Alexandra Marie Laursen, PA-C
• CHI Tran Law, D.M.D.
• Kim Lori Lawler-Coyle, P.T.
• Lawrence Y Lo MD Inc
• Christopher Lawrence
• Gene Curtis Lawrence, M.D.

• Ambulatory Surgical Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• 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.