Newport Superior Medical & Infusion Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

NEWPORT SUPERIOR MEDICAL & INFUSION INC

Practice address

1501 Superior Ave Ste 202
Newport Beach, CA 92663-3640

Phone

(949) 484-4100

Fax

(866) 542-8631

NPI assigned

Oct 2, 2020

Last updated

Jul 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amber Stout

Title

Director of Intake

Phone

(949) 601-6001

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Ryan M Klein, MD

  • Internal Medicine Physician
  • Newport Beach, CA
  • NPI 1184620866
  Medicare reassignment NPD

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1184221137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVE STE 202",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633640",
            "telephone_number": "949-484-4100",
            "fax_number": "866-542-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVE STE 202",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633640",
            "telephone_number": "949-484-4100",
            "fax_number": "866-542-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT SUPERIOR MEDICAL & INFUSION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "DIRECTOR OF INTAKE",
        "authorized_official_telephone_number": "949-601-6001"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "193200000X",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@superiorinfusion.com",
            "affiliation": "N",
            "address_1": "1501 Superior Ave Ste 111",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926633661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@superiorinfusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1501 Superior Ave Ste 202",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926633640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Newport Pulmonary Associates
• Newport Radiosurgery Center, a Medical Corporation
• Newport RX Consulting
• Newport Specialist Inc
• Newport Superior Dialysis, LLC (Newport Superior Dialysis)
• Newport Surgery Center (Orange County Surgery Center)
• Newport Surgery Center, LLC
• Newport Surgical Arts LLC
• Newport Surgical Associates
• Newport Theranostics

• Pulmonary Disease Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.