Individual provider Active NPI

Neil F Neimark, M.D.

  • Family Medicine Physician
  • Irvine, CA
National Provider Identifier
1194737619
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G061767 Issued in CA
Practice address
4980 Barranca Pkwy
Suite 207
Irvine, CA 92604-8645
Phone
(949) 502-5656
Fax
(949) 502-5647
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G061767 CA Primary

Addresses

Primary practice location

4980 Barranca Pkwy
Suite 207
Irvine, CA 92604-8645

Mailing address

4980 Barranca Pkwy
Suite 207
Irvine, CA 92604-8645
Phone (949) 502-5656

Other identifiers 1

IdentifierTypeStateIssuer
G061767OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051201000840 CA Practitioner - Family Practice 6103846548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4980 Barranca Pkwy
Suite 207
Irvine, CA 92604-8655
Phone (949) 502-5656

Hospital & facility affiliations

  • Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G061767CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neil F. Neimark, M.D. Inc. CurrentSince Aug 8, 2005 Accepting new patients
Hoag Memorial Hospital Presbyterian PastSince Sep 1, 2005 Accepting new patients

Locations

4980 Barranca Pkwy
Ste 207
Irvine, CA 92604
Phone (949) 502-5656

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194737619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 BARRANCA PKWY",
            "address_2": "SUITE 207",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926048645",
            "telephone_number": "949-502-5656",
            "fax_number": "949-502-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 BARRANCA PKWY",
            "address_2": "SUITE 207",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926048645",
            "telephone_number": "949-502-5656",
            "fax_number": "949-502-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIMARK",
        "first_name": "NEIL",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G061767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G061767",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.