Organization Active NPI

Jeanne M. Spudick, D.O., a Medical Corporation

  • Infectious Disease Physician
  • Newport Beach, CA
National Provider Identifier
1164596755
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
20A6795 Issued in CA
Legal business name
JEANNE M. SPUDICK, D.O., A MEDICAL CORPORATION
Practice address
1441 Avocado Ave Ste 409
Newport Beach, CA 92660-7705
Phone
(949) 640-4501
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Jeanne Maire Spudick, D.O.NPI 1902824816
Title
President
Phone
(949) 640-4501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 20A6795 CA Primary

Addresses

Primary practice location

1441 Avocado Ave Ste 409
Newport Beach, CA 92660-7705

Mailing address

1441 Avocado Ave Ste 409
Newport Beach, CA 92660-7705
Phone (949) 640-4501

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1164596755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE STE 409",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607705",
            "telephone_number": "949-640-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE STE 409",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607705",
            "telephone_number": "949-640-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE M. SPUDICK, D.O., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "SPUDICK",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "MAIRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-640-4501",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "20A6795",
            "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 Oct 21, 2010; 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.