Organization Active NPI

Elaine Y. King M.D.,Inc.

  • Family Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1346993078
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ELAINE Y. KING M.D.,INC.
Practice address
4425 Jamboree Rd Ste 120
Newport Beach, CA 92660-3044
Phone
(949) 873-0399
Fax
(949) 539-9166
NPI assigned
Feb 2, 2022
Last updated
Feb 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Authorized official

Name
Elaine King, MDNPI 1952329625
Title
Ceo
Phone
(949) 873-0399

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4425 Jamboree Rd Ste 120
Newport Beach, CA 92660-3044

Mailing address

4425 Jamboree Rd Ste 120
Newport Beach, CA 92660-3044
Phone (949) 873-0399

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1346993078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 JAMBOREE RD STE 120",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603044",
            "telephone_number": "949-873-0399",
            "fax_number": "949-539-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 JAMBOREE RD STE 120",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603044",
            "telephone_number": "949-873-0399",
            "fax_number": "949-539-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE Y. KING M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-873-0399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "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 Feb 2, 2022; 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.