Newport Doctors Medical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A33589 Issued in CA

Legal business name

NEWPORT DOCTORS MEDICAL GROUP INC

Practice address

401 Old Newport Blvd
Ste 201
Newport Beach, CA 92663-4289

Phone

(949) 999-2950

Fax

(949) 999-2960

NPI assigned

Jul 14, 2006

Last updated

Apr 19, 2012By 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

David A Gehret, M.D.

Title

President

Phone

(949) 999-2977

Specialties & licenses 4

Addresses

Other names 1

• Newport Doctors Medical Imaging Other name

Locations

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.

• Michael Schlutz, M.D.

  • Specialist
  • Newport Beach, CA
  • NPI 1265535256
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1265458210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 OLD NEWPORT BLVD",
            "address_2": "STE 201",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634289",
            "telephone_number": "949-999-2950",
            "fax_number": "949-999-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OLD NEWPORT BLVD",
            "address_2": "STE 201",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634289",
            "telephone_number": "949-999-2950",
            "fax_number": "949-999-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT DOCTORS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "GEHRET",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-999-2977",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G48231",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G39611",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A33589",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G23417",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport Doctors Medical Imaging",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Newport Family Medicine, Inc

• Specialist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.