Individual provider Active NPI

John C Storch, MD

  • Internal Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1275577975
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G050974 Issued in CA
Practice address
421 Seville Ave
Newport Beach, CA 92661-1528
Phone
(949) 697-9037
Fax
(949) 258-5127
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G050974 CA Primary

Addresses

Primary practice location

421 Seville Ave
Newport Beach, CA 92661-1528

Mailing address

421 Seville Ave
Newport Beach, CA 92661-1528
Phone (949) 697-9037

Other identifiers 1

IdentifierTypeStateIssuer
G50974OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G050974CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1275577975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 SEVILLE AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926611528",
            "telephone_number": "949-697-9037",
            "fax_number": "949-258-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 SEVILLE AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926611528",
            "telephone_number": "949-697-9037",
            "fax_number": "949-258-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORCH",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G050974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G50974",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.