Active NPI
Judith Kay Lee Vogt, M.D.
- Family Medicine Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A65190
- Practice address
- 2161 San Joaquin Hills Rd
Newport Beach, CA 92660-6507 - Phone
- (949) 386-5700
- NPI assigned
- Nov 22, 2005
- Last updated
- Mar 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A65190 | CA | Primary |
Addresses
Primary practice location
2161 San Joaquin Hills Rd
Newport Beach, CA 92660-6507
Mailing address
200 S Manchester Ave Ste 300
Orange, CA 92868-3219
Phone (714) 456-2986
Other practice location 1
3460 Katella Ave
Los Alamitos, CA 90720
Phone (562) 594-6599
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A65190 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UC Regents | Current | Accepting new patients | |
| UC Regents | Current | Accepting new patients | |
| UC Regents | Current | Accepting new patients |
Locations
2161 San Joaquin Hills Rd
Newport Beach, CA 92660
Phone (949) 386-5700
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jleevogtmd18908@direct.memorialcare.org
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, 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": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1245213438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S MANCHESTER AVE STE 300",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683219",
"telephone_number": "714-456-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2161 SAN JOAQUIN HILLS RD",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926606507",
"telephone_number": "949-386-5700"
}
],
"practiceLocations": [
{
"address_1": "3460 Katella Ave",
"address_purpose": "LOCATION",
"city": "Los Alamitos",
"state": "CA",
"postal_code": "90720",
"country_code": "US",
"telephone_number": "562-594-6599",
"fax_number": "562-598-6220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE VOGT",
"first_name": "JUDITH",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-22",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A65190",
"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 Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.