Individual provider Active NPI

Sidney B Newman, M.D.

  • Specialist
  • Los Alamitos, CA
National Provider Identifier
1235222860
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A22507 Issued in CA
Practice address
3801 Katella Ave.
Suite 101
Los Alamitos, CA 90720
Phone
(562) 598-8593
Fax
(562) 594-0877
NPI assigned
Oct 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A22507 CA Primary

Addresses

Primary practice location

3801 Katella Ave.
Suite 101
Los Alamitos, CA 90720

Mailing address

17102 Courtney LN.
Huntington Beach, CA 92648
Phone (714) 374-5906

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
I20120119000655 CA Practitioner - Dermatology 9436326279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3801 Katella Ave
Suite 425
Los Alamitos, CA 90720-6901
Phone (562) 598-8593

Merit-based Incentive Payment System (MIPS)

Final score
80 of 100Reported as group
Quality
60
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision22
Removal of skin lesions1529
Removal or shaving of skin growth293
Skin biopsy1036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A22507CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alamitos Dermatological Medical Clinic a Professional Corp Specialist Current Accepting new patients
Alamitos Dermatological Medical Clinic a Professional Corp Specialist CurrentSince Jan 24, 2017 Accepting new patients
Alamitos Dermatological Medical Clinic a Professional Corp Specialist CurrentSince Jan 24, 2017 Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Alamitos Dermatological Medical Clinic a Professional Corp Specialist Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

17822 Beach Blvd
Ste 427
Huntington Beach, CA 92647
Phone (714) 842-7796

18672 Florida St
Ste 201
Huntington Beach, CA 92648
Phone (714) 842-7796

3801 Katella Ave
Ste 101
Los Alamitos, CA 90720
Phone (562) 598-5893

3801 Katella Ave
Ste 425
Los Alamitos, CA 90720
Phone (562) 431-2556

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235222860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17102 COURTNEY LN.",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92648",
            "telephone_number": "714-374-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE.",
            "address_2": "SUITE 101",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "90720",
            "telephone_number": "562-598-8593",
            "fax_number": "562-594-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "SIDNEY",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A22507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.