Newport Beach Radiosurgery Center, LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

NEWPORT BEACH RADIOSURGERY CENTER, LLC

Practice address

1605 Avocado Ave
Newport Beach, CA 92660-7725

Phone

(949) 760-3025

Fax

(949) 720-3944

NPI assigned

Mar 28, 2012

Last updated

Mar 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hazem Hikmat Chehabi, M.D.

Title

President/Medical Director

Phone

(949) 760-3025

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1356617922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 AVOCADO AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607725",
            "telephone_number": "949-760-3025",
            "fax_number": "949-720-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 AVOCADO AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607725",
            "telephone_number": "949-760-3025",
            "fax_number": "949-720-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT BEACH RADIOSURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "CHEHABI",
        "authorized_official_first_name": "HAZEM",
        "authorized_official_middle_name": "HIKMAT",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-760-3025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newport Beach Lido Surgery Center, LLC (Hoag Outpatient Surgery Center)
• Newport Beach Medical Associates
• Newport Beach Neurosurgical Institute
• Newport Beach OB/GYN Medical Group Inc.
• Newport Beach Pediatric Pulmonology, Inc.
• Newport Beach Recovery Center
• Newport Beach Surgery Center, LLC (Newport Beach Surgery Center)
• Newport Beach Surgical and Medical Group Inc
• Newport Beach Trauma Therapy, Inc
• Newport Beach Womens Wellness Center

• Radiation Oncology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Radiation Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.