Organization Active NPI

Ralph J. Venuto, MD, Inc.

  • Preferred Provider Organization
  • Newport Beach, CA
National Provider Identifier
1174895221
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
G15060 Issued in CA
Legal business name
RALPH J. VENUTO, MD, INC.
Practice address
360 San Miguel Dr Ste 701
Newport Beach, CA 92660-5927
Phone
(949) 759-3600
Fax
(949) 759-0282
NPI assigned
Feb 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Karen Kawada
Title
Billing Manager
Phone
(949) 270-0344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X G15060 CA Primary

Addresses

Primary practice location

360 San Miguel Dr Ste 701
Newport Beach, CA 92660-5927

Mailing address

360 San Miguel Dr Ste 701
Newport Beach, CA 92660-5927
Phone (949) 759-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120402000115 CA Part B Supplier - Clinic/Group Practice 8022278852 Receives reassigned benefits from 1 practitioner
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

360 San Miguel Dr
Ste 701
Newport Beach, CA 92660
Phone (949) 759-3600

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": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1174895221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 701",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605927",
            "telephone_number": "949-759-3600",
            "fax_number": "949-759-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 701",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605927",
            "telephone_number": "949-759-3600",
            "fax_number": "949-759-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH J. VENUTO, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "KAWADA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "949-270-0344"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "G15060",
            "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 Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.