Newport Beach Internal Medicine Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A68507 Issued in CA

Legal business name

NEWPORT BEACH INTERNAL MEDICINE INC.

Practice address

307 Placentia Ave
100
Newport Beach, CA 92663-3310

Phone

(949) 642-0900

Fax

(949) 642-0022

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Wernher Ovalle, M.DNPI 1417901661

Title

President

Phone

(949) 722-3313

Specialties & licenses 1

Addresses

Practitioners 1

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

• Wernher Ovalle, MD

  • Internal Medicine Physician
  • Huntington Beach, CA
  • NPI 1417901661
  NPD (past) Authorized official

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1306042080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 PLACENTIA AVE",
            "address_2": "100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633310",
            "telephone_number": "949-642-0900",
            "fax_number": "949-642-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 PLACENTIA AVE",
            "address_2": "100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633310",
            "telephone_number": "949-642-0900",
            "fax_number": "949-642-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT BEACH INTERNAL MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "OVALLE",
        "authorized_official_first_name": "WERNHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-722-3313",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A68507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Newport Beach Endoscopy Center, LLC
• Newport Beach Gastroenterology Assoc
• Newport Beach Hearing Aid Associates
• Newport Beach Ivf, LLC
• Newport Beach Laser and Plastic Surgery Centre
• Newport Beach Lido Surgery Center, LLC
• Newport Beach Medical Associates
• Newport Beach Neurosurgical Institute

• Internal Medicine Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.