Gregory C Di Rocco, M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

00G449510 Issued in CA

Legal business name

GREGORY C DI ROCCO, M.D., INC.

Practice address

320 Superior Ave
230
Newport Beach, CA 92663-2716

Phone

(949) 547-0292

Fax

(949) 631-1178

NPI assigned

Mar 9, 2007

Last updated

Dec 27, 2011By 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

Ava Bullock

Title

Billing Manager

Phone

(949) 547-0292

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1184756819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1204",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926256204",
            "telephone_number": "949-547-0292",
            "fax_number": "949-631-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE",
            "address_2": "230",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632716",
            "telephone_number": "949-547-0292",
            "fax_number": "949-631-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY C DI ROCCO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "AVA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "949-547-0292"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "00G449510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.