Individual provider Active NPI

Lauren Mary Capalongo, PA-C

  • Physician Assistant
  • Newport Beach, CA
National Provider Identifier
1225804891
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA66167 Issued in CA
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

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240423003840 NY Practitioner - Physician Assistant 8729427778 Reassigns benefits to 1 organization
I20250605000456 CA Practitioner - Physician Assistant 8729427778 Reassigns benefits to 1 organization

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
Bita Adib Bagheri MDGroup PAC ID 6204363682, 4 clinicians

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

LicenseStateTypeSpecialty
03110801NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC PastSince Oct 13, 2024 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.

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

Verify at the official NPI Registry.