Active NPI
Frontida Health LLC
- Pulmonary Disease Physician
- Newport Beach, CA
National Provider Identifier
1205440617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- FRONTIDA HEALTH LLC
- Practice address
- 1501 Superior Ave Ste 202
Newport Beach, CA 92663-3640 - Phone
- (949) 484-4100
- Fax
- (949) 791-8602
- NPI assigned
- Sep 2, 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
- Ernesto Garza
- Title
- Contracting Manager
- Phone
- (602) 300-9055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
1501 Superior Ave Ste 202
Newport Beach, CA 92663-3640
Mailing address
1501 Superior Ave Ste 202
Newport Beach, CA 92663-3640
Phone (949) 484-4100
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613347200000",
"number": "1205440617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 SUPERIOR AVE STE 202",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633640",
"telephone_number": "949-484-4100",
"fax_number": "949-484-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SUPERIOR AVE STE 202",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633640",
"telephone_number": "949-484-4100",
"fax_number": "949-791-8602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRONTIDA HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-02",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A",
"authorized_official_last_name": "GARZA",
"authorized_official_first_name": "ERNESTO",
"authorized_official_title_or_position": "CONTRACTING MANAGER",
"authorized_official_telephone_number": "602-300-9055"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.