Active NPI
Lauren Mary Capalongo, PA-C
- Physician Assistant
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA66167
- Practice address
- 520 Superior Ave Ste 335
Newport Beach, CA 92663-3672 - Phone
- (949) 236-7900
- NPI assigned
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NY | ||
| Physician Assistant | 363A00000X | PA66167 | CA | Primary |
| Physician Assistant | 363A00000X | 03110801 | NY |
Addresses
Primary practice location
520 Superior Ave Ste 335
Newport Beach, CA 92663-3672
Mailing address
104 White Cap LN
Newport Coast, CA 92657-1086
Phone (607) 351-1179
Other names 1
- Lauren Mary Duthie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
113 Waterworks Way
Suite 140
Irvine, CA 92618-3168
Phone (949) 236-7900
16305 Sand Canyon Ave
Suite 220
Irvine, CA 92618-3784
Phone (949) 236-7900
520 Superior Ave
Suite 335
Newport Beach, CA 92663-3672
Phone (949) 236-7900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03110801 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Dermatology Physician
- Newport Beach, CA
- NPI 1518685650
-
- Internal Medicine Physician
- New York, NY
- NPI 1255982542
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1225804891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WHITE CAP LN",
"city": "NEWPORT COAST",
"state": "CA",
"postal_code": "926571086",
"telephone_number": "607-351-1179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 SUPERIOR AVE STE 335",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633672",
"telephone_number": "949-236-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPALONGO",
"first_name": "LAUREN",
"middle_name": "MARY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-27",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA66167",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "03110801",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "DUTHIE",
"middle_name": "MARY",
"credential": "PA-C",
"code": "1",
"type": "Former 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 Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.