Organization Active NPI

Continence Center Medical Group, Inc.

  • Urology Physician
  • Newport Beach, CA
National Provider Identifier
1295748861
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G74895 Issued in CA
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

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Jill ByersNPI 1902846629
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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1295748861OtherCANPI

Other names 1

  • Southern California Continence Center, A Medical Corporation Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hie.ehoag.org Health Information Exchange (HIE) Hoag Memorial Hospital

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.