Organization Active NPI

Newport Physical Medicine and Rehabilitation Inc.

  • Spinal Cord Injury Medicine Physician
  • Irvine, CA
National Provider Identifier
1245775360
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X
License
A31505 Issued in CA
Legal business name
NEWPORT PHYSICAL MEDICINE AND REHABILITATION INC.
Practice address
17264 Red Hill Ave
Irvine, CA 92614-5628
Phone
(949) 650-1228
NPI assigned
Dec 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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)CodeLicenseStatePrimary
Spinal Cord Injury Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210122002567 CA Part B Supplier - Clinic/Group Practice 7618381187 Receives reassigned benefits from 10 practitioners
Practice locations: Irvine, CA
O20210213000125 CA DME Supplier - Multi-Specialty - Physician 7618381187 Practice locations: Irvine, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2192672Newport Physical Medicine and Rehabilitation Inc17264 Red Hill Ave, Irvine, CA 92614Certificate of waiverSep 13, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.