Organization Active NPI

Pacific Obstetrics & Gynecology

  • Specialist
  • Newport Beach, CA
National Provider Identifier
1346641735
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A68416 Issued in CA
Legal business name
PACIFIC OBSTETRICS & GYNECOLOGY
Practice address
496 Old Newport Blvd Ste 4
Newport Beach, CA 92663-4264
Phone
(949) 548-6800
Fax
(949) 548-6801
NPI assigned
Sep 4, 2014
Last updated
Sep 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Dr. Christina J Lee, MDNPI 1114959020
Title
President
Phone
(949) 548-6800

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A68416 CA Primary

Addresses

Primary practice location

496 Old Newport Blvd Ste 4
Newport Beach, CA 92663-4264

Mailing address

496 Old Newport Blvd Ste 4
Newport Beach, CA 92663-4264
Phone (949) 548-6800

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2091086Pacific Obstetrics & Gynecology496 Old Newport Blvd Ste 4, Newport Beach, CA 92663Certificate of waiverFeb 4, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1346641735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 OLD NEWPORT BLVD STE 4",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634264",
            "telephone_number": "949-548-6800",
            "fax_number": "949-548-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 OLD NEWPORT BLVD STE 4",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634264",
            "telephone_number": "949-548-6800",
            "fax_number": "949-548-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC OBSTETRICS & GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-548-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A68416",
            "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 Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.