Active NPI
Continence Center Medical Group, Inc.
- Urology Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G74895
- Legal business name
- CONTINENCE CENTER MEDICAL GROUP, INC.
- Practice address
- 320 Superior Ave
#110
Newport Beach, CA 92663-2716 - Phone
- (949) 480-9659
- NPI assigned
- Aug 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jill Byers
- Title
- Owner
- Phone
- (949) 515-3777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | G74895 | CA | Primary |
Addresses
Primary practice location
320 Superior Ave
#110
Newport Beach, CA 92663-2716
Mailing address
320 Superior Ave Ste 110
Newport Beach, CA 92663-2740
Phone (949) 515-3777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295748861 | Other | CA | NPI |
Other names 1
- Southern California Continence Center, A Medical Corporation
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | hie.ehoag.org | Health Information Exchange (HIE) | Hoag Memorial Hospital |
National Provider Directory
National Provider DirectoryLocations
400 Newport Center Dr
Ste 501
Newport Beach, CA 92660
Phone (949) 644-7200
3400 Lomita Blvd
Ste 300
Torrance, CA 90505
Phone (310) 325-4353
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Newport Beach, CA
- NPI 1902846629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613001600000",
"number": "1295748861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 SUPERIOR AVE STE 110",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926632740",
"telephone_number": "949-515-3777",
"fax_number": "949-480-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 SUPERIOR AVE",
"address_2": "#110",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926632716",
"telephone_number": "949-480-9659"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONTINENCE CENTER MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-14",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A",
"authorized_official_last_name": "BYERS",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-515-3777"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "CA",
"license": "G74895",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1295748861",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "hie.ehoag.org",
"affiliation": "Y",
"endpointDescription": "website",
"affiliationName": "Hoag Memorial Hospital",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "view and print records",
"address_1": "1 Hoag Dr",
"city": "Newport Beach",
"state": "CA",
"country_code": "US",
"postal_code": "926634162",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Southern California Continence Center, A Medical Corporation",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Southern California Continence Center, A Medical Corporation",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.