Organization Active NPI

Ascension Sports Medicine, Inc

  • Primary Care Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1346790516
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
20A14576 Issued in CA
Legal business name
ASCENSION SPORTS MEDICINE, INC
Practice address
400 Newport Center Dr
Suite 204
Newport Beach, CA 92660-7601
Phone
(949) 706-0564
Fax
(949) 706-5836
NPI assigned
Oct 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Dr. Adam Phillip Schulte, D.O.
Title
Physician
Phone
(714) 904-5687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 20A14576 CA Primary

Addresses

Primary practice location

400 Newport Center Dr
Suite 204
Newport Beach, CA 92660-7601

Mailing address

400 Newport Center Dr
Suite 204
Newport Beach, CA 92660-7601
Phone (949) 706-0564

Other names 1

  • Ascension Family and Sports Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1346790516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR",
            "address_2": "SUITE 204",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607601",
            "telephone_number": "949-706-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR",
            "address_2": "SUITE 204",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607601",
            "telephone_number": "949-706-0564",
            "fax_number": "949-706-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION SPORTS MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "SCHULTE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "714-904-5687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "20A14576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Family and Sports Medicine",
            "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 Oct 11, 2016; 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.