Active NPI
H. George Brennan, M.D., Inc.
- Otolaryngology/Facial Plastic Surgery Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- C27484
- Legal business name
- H. GEORGE BRENNAN, M.D., INC.
- Practice address
- 400 Newport Center Dr
Ste. 100
Newport Beach, CA 92660-7601 - Phone
- (949) 644-1641
- NPI assigned
- Jul 4, 2006
- Last updated
- Aug 22, 2020
- 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. H. George Brennan, M.D.
- Title
- Owner
- Phone
- (949) 644-1641
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | C27484 | CA | Primary |
Addresses
Primary practice location
400 Newport Center Dr
Ste. 100
Newport Beach, CA 92660-7601
Mailing address
11999 San Vicente Blvd
Ste. 440
Los Angeles, CA 90049-5131
Phone (310) 440-3131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C27484 | Other | CA | LICENSE NUMBER |
National Provider Directory
National Provider DirectoryLocations
400 Newport Center Dr
Ste 100
Newport Beach, CA 92660
Phone (949) 644-1641
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Newport Beach, CA
- NPI 1558396895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1255361432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11999 SAN VICENTE BLVD",
"address_2": "STE. 440",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495131",
"telephone_number": "310-440-3131",
"fax_number": "310-472-9582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 NEWPORT CENTER DR",
"address_2": "STE. 100",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607601",
"telephone_number": "949-644-1641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H. GEORGE BRENNAN, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRENNAN",
"authorized_official_first_name": "H.",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-644-1641",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "CA",
"license": "C27484",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "C27484",
"state": "CA"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.