Newport Neurospine Specialists Apc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

NEWPORT NEUROSPINE SPECIALISTS APC

Practice address

3420 Bristol St
Suite 700
Costa Mesa, CA 92626-7170

Phone

(949) 284-0575

Fax

(949) 284-0604

NPI assigned

Dec 13, 2013

Last updated

Dec 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. M. Mohsin Shah, M.D.

Title

President

Phone

(949) 284-0575

Specialties & licenses 1

Addresses

Other names 1

• Newport Neurospine Specialists Former legal business name

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1306267554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 BRISTOL ST",
            "address_2": "SUITE 700",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267170",
            "telephone_number": "949-284-0575",
            "fax_number": "949-284-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 BRISTOL ST",
            "address_2": "SUITE 700",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267170",
            "telephone_number": "949-284-0575",
            "fax_number": "949-284-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT NEUROSPINE SPECIALISTS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "M. MOHSIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-284-0575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport Neurospine Specialists",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Newport Medical Supply
• Newport Mesa Dialysis Services, LLC (Newport Mesa Dialysis Services)
• Newport Mesa Medical and Acupuncture Inc.
• Newport Mesa Medical Group, Inc
• Newport Mesa Optometry
• Newport Plaza Surgery Center
• Newport Sleep and Wellness, Inc.
• Newport Surgery Center PC
• Newport Surgical Partners LLC (Newport Plaza Surgical Center)
• Newport-Mesa Unified School District

• Neurological Surgery Physician in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.