Organization Active NPI

Newport Institute of Minimally Invasive Surgery

  • Ambulatory Surgical Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1396279592
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NEWPORT INSTITUTE OF MINIMALLY INVASIVE SURGERY
Practice address
455 Old Newport Blvd
Suite 100
Newport Beach, CA 92663-4241
Phone
(949) 933-7012
Fax
(949) 387-3380
NPI assigned
Apr 13, 2017
Last updated
Apr 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Sonny J Rubin, M.D.NPI 1891714374
Title
Medical Director
Phone
(949) 933-7012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

455 Old Newport Blvd
Suite 100
Newport Beach, CA 92663-4241

Mailing address

455 Old Newport Blvd
Suite 100
Newport Beach, CA 92663-4241
Phone (949) 933-7012

National Provider Directory

National Provider Directory
Tax ID family
Newport Institute of Minimally Invasive Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1396279592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 OLD NEWPORT BLVD",
            "address_2": "SUITE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634241",
            "telephone_number": "949-933-7012",
            "fax_number": "949-387-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 OLD NEWPORT BLVD",
            "address_2": "SUITE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634241",
            "telephone_number": "949-933-7012",
            "fax_number": "949-387-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT INSTITUTE OF MINIMALLY INVASIVE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "SONNY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-933-7012",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Apr 13, 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.

Verify at the official NPI Registry.