NPIMap

Organization Active NPI

Northwest Newborn Specialists PC

  • Neonatal-Perinatal Medicine Physician
  • Orange, CA
National Provider Identifier
1235135302
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
NORTHWEST NEWBORN SPECIALISTS PC
Practice address
770 The City Dr S
Suite 4000
Orange, CA 92868-4900
Phone
(800) 463-6628
Fax
(714) 740-0326
NPI assigned
Jun 23, 2005
Last updated
Oct 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Nanette Sanders
Title
Assistant Secretary
Phone
(800) 243-3839

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X NU Primary
Pediatric Critical Care Medicine Physician 2080P0203X NU

Addresses

Primary practice location

770 The City Dr S
Suite 4000
Orange, CA 92868-4900

Mailing address

1301 Concord Ter
Sunrise, FL 33323-2843
Phone (800) 243-3839

Other identifiers 3

IdentifierTypeStateIssuer
148502MedicaidOR
048003000OtherORBCBS
7005937MedicaidWA

National Provider Directory

National Provider Directory

Locations

300 N Graham St
Ste 100
Portland, OR 97227
Phone (503) 413-1122

501 N Graham St
Ste 265
Portland, OR 97227
Phone (503) 282-7002

9701 SW Barnes Rd
Ste 299
Portland, OR 97225
Phone (503) 297-3660

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1235135302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843",
            "telephone_number": "800-243-3839",
            "fax_number": "954-851-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 THE CITY DR S",
            "address_2": "SUITE 4000",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684900",
            "telephone_number": "800-463-6628",
            "fax_number": "714-740-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST NEWBORN SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "NANETTE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "800-243-3839"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148502",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "048003000",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005937",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.