Organization Active NPI

Boris M. Ackerman, M.D. PC

  • Ambulatory Surgical Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1184543530
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BORIS M. ACKERMAN, M.D. PC
Practice address
360 San Miguel Dr Ste 607
Newport Beach, CA 92660-7832
Phone
(949) 759-3284
NPI assigned
Jul 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Dr. Boris Ackerman, MD
Title
Medical Director
Phone
(949) 759-3284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

360 San Miguel Dr Ste 607
Newport Beach, CA 92660-7832

Mailing address

360 San Miguel Dr Ste 607
Newport Beach, CA 92660-7832
Phone (949) 759-3284

Other names 1

  • Newport Beach Laser and Plastic Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

360 San Miguel Dr
Ste 607
Newport Beach, CA 92660
Phone (949) 459-3284

NPI Registry JSON

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

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1184543530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 607",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607832",
            "telephone_number": "949-759-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 607",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607832",
            "telephone_number": "949-759-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIS M. ACKERMAN, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-759-3284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport Beach Laser and Plastic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 10, 2026; 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.