Organization Active NPI

Michael B Hurwitz MD Inc

Doing business as Newport Vein Care

  • Surgery Physician
  • Corona del Mar, CA
National Provider Identifier
1174661987
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A48266 Issued in CA
Legal business name
MICHAEL B HURWITZ MD INC
Doing business as
Newport Vein Care
Practice address
3334 E Coast Hwy
Suite 176
Corona del Mar, CA 92625-2328
Phone
(949) 631-4890
Fax
(949) 631-4008
NPI assigned
Feb 2, 2007
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Michael Bruce Hurwitz, MDNPI 1437179595
Title
President
Phone
(949) 631-4890

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A48266 CA Primary

Addresses

Primary practice location

3334 E Coast Hwy
Suite 176
Corona del Mar, CA 92625-2328

Mailing address

1901 Westcliff Drive
Suite 2
Newport Beach, CA 92660-5505
Phone (949) 631-4890

Other identifiers 1

IdentifierTypeStateIssuer
W21612OtherCAMEDICARE GROUP NUMBER

Other names 1

  • Newport Vein Care Doing business as

National Provider Directory

National Provider Directory

Locations

1901 Westcliff Dr
Newport Beach, CA 92660
Phone (949) 631-4890

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": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1174661987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 WESTCLIFF DRIVE",
            "address_2": "SUITE 2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605505",
            "telephone_number": "949-631-4890",
            "fax_number": "949-631-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 E COAST HWY",
            "address_2": "SUITE 176",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252328",
            "telephone_number": "949-631-4890",
            "fax_number": "949-631-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL B HURWITZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "HURWITZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-631-4890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A48266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "W21612",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport Vein Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.