Active NPI
Emmeline Warren
- Physical Therapist
- Newport Coast, CA
National Provider Identifier
1396101614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 43408
- Practice address
- 21139 Newport Coast Dr
Newport Coast, CA 92657-1122 - Phone
- (949) 640-2300
- NPI assigned
- Jan 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 43408 | CA | Primary |
Addresses
Primary practice location
21139 Newport Coast Dr
Newport Coast, CA 92657-1122
Mailing address
6313 Residencia
Newport Beach, CA 92660-9051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43408 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490486400000",
"number": "1396101614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6313 RESIDENCIA",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926609051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21139 NEWPORT COAST DR",
"city": "NEWPORT COAST",
"state": "CA",
"postal_code": "926571122",
"telephone_number": "949-640-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "EMMELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-04",
"last_updated": "2017-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "43408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Coast, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.