Newport Specialist Inc

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

NEWPORT SPECIALIST INC

Practice address

1419 Superior Ave Ste 1
Newport Beach, CA 92663-2723

Phone

(949) 650-0587

Fax

(949) 650-0587

NPI assigned

Oct 5, 2017

Organization subpart

No

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

Authorized official

Name

Sylvia Nuttall

Title

Practice Manager

Phone

(949) 650-0587

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1336659127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 NEWPORT CENTER DR STE 230",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606451",
            "telephone_number": "949-650-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 SUPERIOR AVE STE 1",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632723",
            "telephone_number": "949-650-0587",
            "fax_number": "949-650-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT SPECIALIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "NUTTALL",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "949-650-0587"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newport Psychiatry Inc
• Newport Psychology
• Newport Pulmonary Associates
• Newport Radiosurgery Center, a Medical Corporation
• Newport RX Consulting
• Newport Superior Dialysis, LLC (Newport Superior Dialysis)
• Newport Superior Medical & Infusion Inc
• Newport Surgery Center (Orange County Surgery Center)
• Newport Surgery Center, LLC
• Newport Surgical Arts LLC

• Addiction Medicine (Family Medicine) Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Addiction Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.