Organization Active NPI

MG Allergy, Inc.

  • Medical Specialty Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1184222556
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
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

Updated by the provider on Mar 10, 2022

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.