Active NPI
MG Allergy, Inc.
- Medical Specialty Clinic/Center
- Newport Beach, CA
National Provider Identifier
1184222556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- MG ALLERGY, INC.
- Practice address
- 1501 Superior Ave Ste 201
Newport Beach, CA 92663-3634 - Phone
- (949) 239-4000
- Fax
- (949) 209-5449
- NPI assigned
- Oct 16, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Morrow
- Title
- Office Manager
- Phone
- (949) 239-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
1501 Superior Ave Ste 201
Newport Beach, CA 92663-3634
Mailing address
1501 Superior Ave Ste 201
Newport Beach, CA 92663-3634
Phone (949) 239-4000
Other names 1
- Immune Knowledge Y Now
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646870400000",
"number": "1184222556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 SUPERIOR AVE STE 201",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633634",
"telephone_number": "949-239-4000",
"fax_number": "949-209-5449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SUPERIOR AVE STE 201",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633634",
"telephone_number": "949-239-4000",
"fax_number": "949-209-5449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MG ALLERGY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-16",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A",
"authorized_official_last_name": "MORROW",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "949-239-4000"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Immune Knowledge Y Now",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.