NPIMap

Organization Active NPI

Jocelyn Bennett Craig, MD, Corporation

  • Gynecology Physician
  • Newport Beach, CA
National Provider Identifier
1306177977
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
A80920 Issued in CA
Legal business name
JOCELYN BENNETT CRAIG, MD, CORPORATION
Practice address
1501 Superior Ave
Suite 201
Newport Beach, CA 92663-3600
Phone
(949) 836-9689
Fax
(949) 764-9399
NPI assigned
Jan 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Patricia Fuentes
Title
Credentialing
Phone
(714) 505-7540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X A80920 CA Primary

Addresses

Primary practice location

1501 Superior Ave
Suite 201
Newport Beach, CA 92663-3600

Mailing address

PO Box 2235
Newport Beach, CA 92659-1235
Phone (949) 836-9689

National Provider Directory

National Provider Directory

Locations

2888 Long Beach Blvd
Ste 325
Long Beach, CA 90806
Phone (562) 366-0300

1501 Superior Ave
Ste 201
Newport Beach, CA 92663
Phone (949) 239-4000

Practitioners & affiliated clinicians

Practitioners 8

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": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1306177977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2235",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926591235",
            "telephone_number": "949-836-9689",
            "fax_number": "949-764-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVE",
            "address_2": "SUITE 201",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633600",
            "telephone_number": "949-836-9689",
            "fax_number": "949-764-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOCELYN BENNETT CRAIG, MD, CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "714-505-7540"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A80920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 21, 2010; 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.