Organization Active NPI

Dipti Itchhaporia Medical Corporation

  • Cardiovascular Disease Physician
  • Newport Beach, CA
National Provider Identifier
1356533848
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
DIPTI ITCHHAPORIA MEDICAL CORPORATION
Practice address
355 Placentia Ave
Suite 207B
Newport Beach, CA 92663-3311
Phone
(949) 548-6634
Fax
(949) 548-1431
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Dr. Dipti Itchhaporia, M.D.NPI 1316990070
Title
President
Phone
(949) 548-6634

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
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

355 Placentia Ave
Suite 207B
Newport Beach, CA 92663-3311

Mailing address

PO Box 3696
Newport Beach, CA 92659-8696
Phone (949) 548-6634

Other names 1

  • Newport Coast Cardiology, Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080116000736 CA Part B Supplier - Clinic/Group Practice 0446331318 Receives reassigned benefits from 4 practitioners
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

520 Superior Ave
Ste 325
Newport Beach, CA 92663
Phone (949) 548-6634

Practitioners & affiliated clinicians

Practitioners 4

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": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1356533848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3696",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926598696",
            "telephone_number": "949-548-6634",
            "fax_number": "949-548-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 PLACENTIA AVE",
            "address_2": "SUITE 207B",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633311",
            "telephone_number": "949-548-6634",
            "fax_number": "949-548-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIPTI ITCHHAPORIA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "ITCHHAPORIA",
        "authorized_official_first_name": "DIPTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-548-6634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport Coast Cardiology, Inc",
            "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 Dec 18, 2007; 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.