NPIMap

Organization Active NPI

Specialty Associates Management Corporation

  • Otology & Neurotology Physician
  • Newport Beach, CA
National Provider Identifier
1154750040
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
G83612 Issued in CA
Legal business name
SPECIALTY ASSOCIATES MANAGEMENT CORPORATION
Practice address
446 Old Newport Blvd Ste 100
Newport Beach, CA 92663-4246
Phone
(949) 631-4327
Fax
(949) 631-2030
NPI assigned
Nov 1, 2013
Last updated
Oct 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Authorized official

Name
Jack Shohet, M.D.NPI 1346325180
Title
Chief Executive Officer
Phone
(949) 631-4327

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X G83612 CA Primary
Audiologist 231H00000X 5099 CA

Addresses

Primary practice location

446 Old Newport Blvd Ste 100
Newport Beach, CA 92663-4246

Mailing address

446 Old Newport Blvd Ste 100
Newport Beach, CA 92663-4246
Phone (949) 631-4327

Other names 1

  • Specialty Associates Management Company Other name

National Provider Directory

National Provider Directory

Locations

446 Old Newport Blvd
Ste 100
Newport Beach, CA 92663
Phone (949) 631-4327

Practitioners & affiliated clinicians

Practitioners 1

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": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1154750040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 OLD NEWPORT BLVD STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634246",
            "telephone_number": "949-631-4327",
            "fax_number": "949-631-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 OLD NEWPORT BLVD STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634246",
            "telephone_number": "949-631-4327",
            "fax_number": "949-631-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY ASSOCIATES MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "SHOHET",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "949-631-4327",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "CA",
            "license": "G83612",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "5099",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Associates Management Company",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 15, 2015; 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.