Newport Children Medical Group at Mission

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A109148 Issued in CA

Legal business name

NEWPORT CHILDREN MEDICAL GROUP AT MISSION

Practice address

26800 Crown Valley Pkwy
Suite 510
Mission Viejo, CA 92691-6384

Phone

(949) 364-8700

Fax

(949) 365-1011

NPI assigned

Apr 25, 2013

Organization subpart

No

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

Authorized official

Name

Johanna Rodriguez-Toledo, M. D.NPI 1447454137

Title

Secretary

Phone

(949) 364-8700

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Johanna Rodriguez-Toledo, MD

  • Pediatrics Physician
  • Mission Viejo, CA
  • NPI 1447454137
  NPD (past) Authorized official
• Heli Bhatt, MD

  • Pediatrics Physician
  • Riverside, CA
  • NPI 1235620543
  NPD (past)
• Ji in Kim, DNP, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Irvine, CA
  • NPI 1952292120
  NPD (past)
• Ruchi Modi Singh, DO

  • Pediatrics Physician
  • Mission Viejo, CA
  • NPI 1003559774
  NPD (past)

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1154765709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26800 CROWN VALLEY PKWY",
            "address_2": "SUITE 510",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916384",
            "telephone_number": "949-364-8700",
            "fax_number": "949-365-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26800 CROWN VALLEY PKWY",
            "address_2": "SUITE 510",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916384",
            "telephone_number": "949-364-8700",
            "fax_number": "949-365-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT CHILDREN MEDICAL GROUP AT MISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-TOLEDO",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-364-8700",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A109148",
            "primary": true
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "CA",
            "license": "A47947",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Colleen Burke Newhall, MSN, NP
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• Don Chen Ngerng
• Craig Nghiem, MD
• Huy Ngo, PHARMD.
• Anh Nguyen

• Pediatrics Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.