Gregory Alan. Bartlow, M.D., Inc.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

A24898 Issued in CA

Legal business name

GREGORY ALAN. BARTLOW, M.D., INC.

Practice address

1441 Avocado Ave
806
Newport Beach, CA 92660-7721

Phone

(949) 718-1222

Fax

(949) 718-1220

NPI assigned

Jun 7, 2008

Last updated

Feb 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory Alan Bartlow, M.D., INC.

Title

Owner

Phone

(949) 718-1222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1212796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1255590808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 ANAHEIM AVE",
            "address_2": "4C",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926275028",
            "telephone_number": "949-874-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE",
            "address_2": "806",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607721",
            "telephone_number": "949-718-1222",
            "fax_number": "949-718-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY ALAN. BARTLOW, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-07",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "BARTLOW",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-718-1222",
        "authorized_official_credential": "M.D., INC."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A24898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• MOHS-Micrographic Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• MOHS-Micrographic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.