Active NPI
Jose Puangco, M.D.
- Neurology Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A91074
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.37 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A91074 | CA | MD | Clinical Neurophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newport Neurohospitalist Medical Group, Inc | Neurology | Current | Accepting new patients |
| Newport Neurohospitalists | Current | 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
- jose.puangco.p1@direct.newportmed.nextgenshare.com
- 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.
-
- Neurology Physician
- Newport Beach, CA
- NPI 1942305412
-
- Neurological Surgery Physician
- Newport Beach, CA
- NPI 1477858546
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.