Organization Active NPI

Pacific Hospitalist Associates a Medical Corporation

  • Skilled Nursing Facility
  • Newport Beach, CA
National Provider Identifier
1306248240
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PACIFIC HOSPITALIST ASSOCIATES A MEDICAL CORPORATION
Practice address
1555 Superior Ave
Newport Beach, CA 92663-3628
Phone
(949) 646-7764
Fax
(949) 574-5633
NPI assigned
Sep 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Dr. Weston Chandler, MDNPI 1053350397
Title
President
Phone
(949) 873-6181

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X FNP28511 CA
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1555 Superior Ave
Newport Beach, CA 92663-3628

Mailing address

361 Hospital Rd Ste 521
Newport Beach, CA 92663-3526
Phone (949) 873-6181

Other practice location 1

25652 Old Trabuco Rd
Lake Forest, CA 92630-2776
Phone (949) 380-9380

Other practice location 2

661 Center St
Costa Mesa, CA 92627-2708
Phone (949) 548-5584

Other practice location 3

7781 Garfield Ave
Huntington Beach, CA 92648-2026
Phone (714) 847-9671

Other practice location 4

19191 Harvard Ave
Irvine, CA 92612-4670
Phone (949) 854-9500

Other practice location 5

24452 Health Center Dr
Laguna Hills, CA 92653-3604
Phone (949) 837-8000

Other practice location 6

24962 Calle Aragon
Laguna Hills, CA 92637-3883
Phone (949) 587-9000

Other practice location 7

18811 Florida St
Huntington Beach, CA 92648-1920
Phone (714) 847-3515

Other practice location 8

340 Victoria St
Costa Mesa, CA 92627-1914
Phone (949) 642-0387

Other practice location 9

466 Flagship Rd
Newport Beach, CA 92663-3635
Phone (949) 642-8044

Other practice location 10

1445 Superior Ave
Newport Beach, CA 92663-6152
Phone (949) 515-3930

Other identifiers 2

IdentifierTypeStateIssuer
CK2215OtherCAMEDICARE RAILROAD
W15241OtherCAMEDICARE PTAN

Other names 1

  • Pacific Hospitalist Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040316000730 CA Part B Supplier - Clinic/Group Practice 6204726102 Receives reassigned benefits from 102 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Laguna Hills, CA; Newport Beach, CA; Lake Forest, CA; Irvine, CA; Huntington Beach, CA; Costa Mesa, CA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pacific Hospitalist Associates a Medical Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3101 W Coast Hwy
Ste 300
Newport Beach, CA 92663
Phone (714) 761-3901

Practitioners & affiliated clinicians

Practitioners 97

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

View all 97

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1306248240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD STE 521",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633526",
            "telephone_number": "949-873-6181",
            "fax_number": "949-873-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SUPERIOR AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633628",
            "telephone_number": "949-646-7764",
            "fax_number": "949-574-5633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25652 Old Trabuco Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "CA",
            "postal_code": "926302776",
            "country_code": "US",
            "telephone_number": "949-380-9380",
            "fax_number": "949-380-1499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "661 Center St",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926272708",
            "country_code": "US",
            "telephone_number": "949-548-5584",
            "fax_number": "866-740-2643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7781 Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926482026",
            "country_code": "US",
            "telephone_number": "714-847-9671",
            "fax_number": "714-847-4196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19191 Harvard Ave",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926124670",
            "country_code": "US",
            "telephone_number": "949-854-9500",
            "fax_number": "949-725-9132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24452 Health Center Dr",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926533604",
            "country_code": "US",
            "telephone_number": "949-837-8000",
            "fax_number": "949-837-5187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24962 Calle Aragon",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926373883",
            "country_code": "US",
            "telephone_number": "949-587-9000",
            "fax_number": "949-951-3174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18811 Florida St",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926481920",
            "country_code": "US",
            "telephone_number": "714-847-3515",
            "fax_number": "714-847-2852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Victoria St",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926271914",
            "country_code": "US",
            "telephone_number": "949-642-0387",
            "fax_number": "949-646-0313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "466 Flagship Rd",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926633635",
            "country_code": "US",
            "telephone_number": "949-642-8044",
            "fax_number": "949-642-0102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1445 Superior Ave",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926636152",
            "country_code": "US",
            "telephone_number": "949-515-3930",
            "fax_number": "949-515-3974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC HOSPITALIST ASSOCIATES A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "WESTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-873-6181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "FNP28511",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CK2215",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W15241",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Hospitalist Associates",
            "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 Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.