Active NPI
Newport Physical Medicine and Rehabilitation Inc.
Doing business as Basic Physical Medicine
- Spinal Cord Injury Medicine Physician
- Irvine, CA
National Provider Identifier
1245775360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Spinal Cord Injury Medicine Physician
- License
- A31505
- Legal business name
- NEWPORT PHYSICAL MEDICINE AND REHABILITATION INC.
- Doing business as
- Basic Physical Medicine
- Practice address
- 17264 Red Hill Ave
Irvine, CA 92614-5628 - Phone
- (949) 650-1228
- NPI assigned
- Dec 28, 2016
- Last updated
- Jan 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vinod Malhorta, MD
- Title
- President
- Phone
- (949) 650-1228
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Spinal Cord Injury Medicine Physician | 2081P0004X | A31505 | CA | Primary |
Addresses
Primary practice location
17264 Red Hill Ave
Irvine, CA 92614-5628
Mailing address
17264 Red Hill Ave
Irvine, CA 92614-5628
Other names 1
- Basic Physical Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2192672 | Newport Physical Medicine and Rehabilitation Inc | Certificate of waiver | Sep 13, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 10
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.
-
- Interventional Pain Medicine Physician
- Irvine, CA
- NPI 1225293095
-
- Nurse Practitioner
- Garden Grove, CA
- NPI 1942003165
-
- Physical Therapist
- Anaheim, CA
- NPI 1518584325
-
- Chiropractor
- Santa Ana, CA
- NPI 1326263070
-
- Physician Assistant
- Irvine, CA
- NPI 1578965455
-
- Family Nurse Practitioner
- Rancho Santa Margarita, CA
- NPI 1104539295
-
- Family Nurse Practitioner
- Bakersfield, CA
- NPI 1932302973
-
- Physical Therapist
- Rancho Santa Margarita, CA
- NPI 1548818883
-
- Physician Assistant
- Mission Viejo, CA
- NPI 1356397970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611878400000",
"number": "1245775360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17264 RED HILL AVE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926145628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17264 RED HILL AVE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926145628",
"telephone_number": "949-650-1228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWPORT PHYSICAL MEDICINE AND REHABILITATION INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-28",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A",
"authorized_official_last_name": "MALHORTA",
"authorized_official_first_name": "VINOD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-650-1228",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2081P0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "CA",
"license": "A31505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Basic Physical Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Irvine, CA
- Newport Neurohospitalist Medical Group, Inc
- Newport Neurohospitalist Medical Group, Inc
- Newport Neurohospitalists Medical Group, Inc
- Newport Palliative Care, PC
- Newport Personal Medicine, Inc.
- Newport Spine and Physical Medicine
- Margaret Deanne Newton McMillan, FNP
- Denise Newton, COTA
- Diane Newton
- Nexmed Care Centers, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.