Organization Active NPI

Disc Sports and Spine Center at Newport Beach

  • Orthopaedic Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1154600070
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
DISC SPORTS AND SPINE CENTER AT NEWPORT BEACH
Practice address
3501 Jamboree Rd
Suiute 1200
Newport Beach, CA 92660-2939
Phone
(949) 988-7888
Fax
(949) 509-7907
NPI assigned
Aug 9, 2011
Last updated
Aug 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Laurie Dale
Title
Cfo
Phone
(310) 574-0450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

3501 Jamboree Rd
Suiute 1200
Newport Beach, CA 92660-2939

Mailing address

13160 Mindanao Way
Suite 170
Marina del Rey, CA 90292-6358
Phone (310) 574-0450

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1154600070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY",
            "address_2": "SUITE 170",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926358",
            "telephone_number": "310-574-0450",
            "fax_number": "310-574-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 JAMBOREE RD",
            "address_2": "SUIUTE 1200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602939",
            "telephone_number": "949-988-7888",
            "fax_number": "949-509-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISC SPORTS AND SPINE CENTER AT NEWPORT BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "310-574-0450"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "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 Aug 9, 2011; 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.