Newport Multi Specialty Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NEWPORT MULTI SPECIALTY SURGERY CENTER LLC

Practice address

400 Newport Center Dr Ste 102
Newport Beach, CA 92660-8602

Phone

(949) 423-2170

Fax

(949) 606-8618

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. H. George Brennan, MD

Title

Medical Director

Phone

(949) 355-1284

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Newport Beach Center for Surgery LLCCCN 05C0001631

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Francis Petraglia, M.D.

  • Interventional Pain Medicine Physician
  • Newport Beach, CA
  • NPI 1417933938
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1285664466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608602",
            "telephone_number": "949-423-2170",
            "fax_number": "949-606-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608602",
            "telephone_number": "949-423-2170",
            "fax_number": "949-606-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT MULTI SPECIALTY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "H.",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-355-1284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newport Medicine Group, Inc.
• Newport Mental Health Center LLC
• Newport Mesa Audiology Inc
• Newport Mesa Individual and Family Therapy
• Newport Mesa Wellness & Murphy Chiropractic Inc.
• Newport Neurohospitalist Medical Group Inc
• Newport Neurohospitalist Medical Group, Inc
• Newport Neurohospitalist Medical Group, Inc
• Newport Neurohospitalists
• Newport Neurology

• Ambulatory Surgical Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.