Organization Active NPI

Philip N. Chironis, M.D. a Medical Corporation

  • Specialist
  • Newport Beach, CA
National Provider Identifier
1356528012
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A43703 Issued in CA
Legal business name
PHILIP N. CHIRONIS, M.D. A MEDICAL CORPORATION
Practice address
361 Hospital Rd
Suite 522
Newport Beach, CA 92663-3522
Phone
(949) 645-5918
Fax
(949) 645-0453
NPI assigned
Jan 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Philip N Chironis, M.D.NPI 1467482190
Title
Owner/President
Phone
(949) 645-5918

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: 193200000X MULTI-SPECIALTY GROUP 174400000X A43703 CA Primary

Addresses

Primary practice location

361 Hospital Rd
Suite 522
Newport Beach, CA 92663-3522

Mailing address

361 Hospital Rd
Suite 522
Newport Beach, CA 92663-3522
Phone (949) 645-5918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050715000951 CA Part B Supplier - Clinic/Group Practice 2264468685 Receives reassigned benefits from 3 practitioners
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1356528012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD",
            "address_2": "SUITE 522",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633522",
            "telephone_number": "949-645-5918",
            "fax_number": "949-645-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD",
            "address_2": "SUITE 522",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633522",
            "telephone_number": "949-645-5918",
            "fax_number": "949-645-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP N. CHIRONIS, M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "CHIRONIS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "949-645-5918",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A43703",
            "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 Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.