NPIMap

Organization Active NPI

UC Irvine Health- Newport Doctors Medical Group- Radiology

  • Medical Specialty Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1255796157
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
UC IRVINE HEALTH- NEWPORT DOCTORS MEDICAL GROUP- RADIOLOGY
Practice address
401 Old Newport Blvd
Suite 201
Newport Beach, CA 92663-4291
Phone
(949) 999-2977
Fax
(949) 548-0391
NPI assigned
Dec 18, 2015
Organization subpart
Yes
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Authorized official

Name
Dr. Manuel Porto, M.D.
Title
President
Phone
(714) 456-2986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

401 Old Newport Blvd
Suite 201
Newport Beach, CA 92663-4291

Mailing address

PO Box 513255
Los Angeles, CA 90051-3255
Phone (714) 456-3851

National Provider Directory

National Provider Directory
Tax ID family
UC Irvine Health- Newport Doctors Medical Group- Radiology2 organizations share this tax ID, including this one
Part of
Regents of the University of California

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1255796157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513255",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900513255",
            "telephone_number": "714-456-3851",
            "fax_number": "714-456-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OLD NEWPORT BLVD",
            "address_2": "SUITE 201",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634291",
            "telephone_number": "949-999-2977",
            "fax_number": "949-548-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC IRVINE HEALTH- NEWPORT DOCTORS MEDICAL GROUP- RADIOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "PORTO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-456-2986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "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 Dec 18, 2015; 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.