Individual provider Active NPI

Jose Puangco, M.D.

  • Neurology Physician
  • Newport Beach, CA
National Provider Identifier
1376742700
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A91074 Issued in CA
Practice address
510 Superior Ave
Suite 200-a
Newport Beach, CA 92663-3663
Phone
(949) 764-8070
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X A91074 CA
Clinical Neurophysiology Physician 2084N0600X A91074 CA
Neurology Physician 2084N0400X A91074 CA Primary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X A91074 CA
Hospitalist Physician 208M00000X A91074 CA

Addresses

Primary practice location

510 Superior Ave
Suite 200-a
Newport Beach, CA 92663-3663

Mailing address

510 Superior Ave
Suite 200-a
Newport Beach, CA 92663-3663
Phone (949) 764-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080119000068 CA Practitioner - NeurologyPractitioner - Sleep Medicine 1153402854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Neurohospitalist Medical Group, IncGroup PAC ID 9335195148, 7 clinicians

Practice addresses (Care Compare)

520 Superior Ave
Suite 205
Newport Beach, CA 92663-3667
Phone (949) 764-1454

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
97.37 of 100Reported as individual
Quality
93.13
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A91074CAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Neurohospitalist Medical Group, Inc Neurology Current Accepting new patients
Newport Neurohospitalists CurrentSince Oct 4, 2010 Accepting new patients

Locations

16405 Sand Canyon Ave
Ste 220
Irvine, CA 92618
Phone (949) 336-8150

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

520 Superior Ave
Ste 205
Newport Beach, CA 92663
Phone (949) 650-2462

Interoperability endpoints

  • Direct secure messaging: jose.puangco.p1@direct.newportmed.nextgenshare.com
  • Direct secure messaging: jose.puangco.p46@direct.newportmed.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1376742700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SUPERIOR AVE",
            "address_2": "SUITE 200-A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633663",
            "telephone_number": "949-764-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SUPERIOR AVE",
            "address_2": "SUITE 200-A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633663",
            "telephone_number": "949-764-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUANGCO",
        "first_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CA",
            "license": "A91074",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "A91074",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A91074",
            "primary": true
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "CA",
            "license": "A91074",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A91074",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.